Providence Health & Services Washington
NPI #1639892672 in Chewelah, Washington
Provider Information
- NPI Number
- 1639892672
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Washington
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 23, 2022
- Last Updated
- May 5, 2025
Practice Location
- Address
- 100 W SOUTH AVE
- City
- Chewelah
- State
- Washington
- ZIP Code
- 99109-9684
- Phone
- (509) 935-8111
Authorized Official
- Name
- DONALD W. ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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