Providence Health & Service Washington in Seattle - Addiction (substance Use Disorder)

Providence Health & Service Washington - NPI 1104024348

Providence Health & Service Washington is a Addiction (substance Use Disorder) in Seattle, Washington. Providence Health & Service Washington practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Providence Health & Service Washington is 1104024348. The last update date is 2010-12-22.

Providence Health & Service Washington's current location address is Po Box 34439, Seattle, Washington. You can contact this provider via phone number 4255256778 and fax number 4255256700. The mailing address for Providence Health & Service Washington is Po Box 34439, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Service Washington
Address Po Box 34439, Seattle, Washington
Phone Number 4255256778
Fax Number 4255256700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PAYOR CRED
Authorized Official Name Quinn Nicole
Telephone Number 4255256715

NPI Number Detail

NPI Number 1104024348
Provider Enumeration Date 2007-07-10
Last Updated Date 2010-12-22

Provider Mailing Address Detail

Address Po Box 34439
City Seattle
State Washington (WA)
Post Code 981241439
Phone Number 4255256778
Fax Number 4255256700

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 103Ta0400X
Definition:
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
602 399 531 WA UBI MASTER LICENSE
1250 WA BUSINESS LICENSE

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FAQs about Providence Health & Service Washington

What is the unique 10-digit identification code issued to Providence Health & Service Washington by the Centers for Medicare & Medicaid Services?

The Providence Health & Service Washington has been assigned the NPI (National Provider Identifier) 1104024348 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Providence Health & Service Washington's facilities are geographically located?

The facilities of Providence Health & Service Washington are physically situated at the following location: Po Box 34439, Seattle, WA, 981241439.

What is the Providence Health & Service Washington's specialty and taxonomy code?

The Providence Health & Service Washington's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.

When did Providence Health & Service Washington receive its 1104024348 assignment?

The Providence Health & Service Washington was assigned its 1104024348 on 2007-07-10, which is the date when this unique identifier was issued to the organization.

When was the Providence Health & Service Washington's information last updated?

The Providence Health & Service Washington's information was last updated on 2010-12-22.

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