Providence Health & Services - Wa

NPI #1700038197 in Chewelah, Washington

Provider Information

NPI Number
1700038197
Entity Type
Organization
Organization Name
Providence Health & Services - Wa
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 16, 2008
Last Updated
Jan 28, 2013

Practice Location

Address
500 E WEBSTER AVE
ZIP Code
99109-9523
Phone
(509) 935-8211

Authorized Official

Name
DAN GOGGIN
Title
CFO
Phone
(509) 474-4899

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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