Providence Health and Services

NPI #1598065419 in Seattle, Washington

Provider Information

NPI Number
1598065419
Entity Type
Organization
Organization Name
Providence Health and Services
Primary Specialty
Health Maintenance Organization
Enumeration Date
Oct 26, 2010
Last Updated
May 6, 2025

Practice Location

Address
2001 LIND AVENUE SW
Address 2
SUITE 240
ZIP Code
98124-1439
Phone
(425) 525-6717

Authorized Official

Name
MR. DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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