Providence Health Care in Deer Park - Critical Access

Providence Health Care - NPI 1417057233

Providence Health Care is a Critical Access in Deer Park, Washington. Providence Health Care practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Providence Health Care is 1417057233. The last update date is 2008-10-22.

Providence Health Care's current location address is 1015 East D Street, Deer Park, Washington. You can contact this provider via phone number 5092765061 and fax number 5092768713. The mailing address for Providence Health Care is 1015 East D Street, Deer Park, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health Care
Address 1015 East D Street, Deer Park, Washington
Phone Number 5092765061
Fax Number 5092768713
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Febach Colleen
Telephone Number 5092765061

NPI Number Detail

NPI Number 1417057233
Provider Enumeration Date 2006-09-22
Last Updated Date 2008-10-22

Provider Mailing Address Detail

Address 1015 East D Street
City Deer Park
State Washington (WA)
Post Code 990060742
Phone Number 5092765061
Fax Number 5092768713

Provider's Primary Taxonomy Detail

Speciality Critical Access
Taxonomy 282Nc0060X
Licence No H-178
Definition:
Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement.

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FAQs about Providence Health Care

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

The Providence Health Care has been assigned the NPI (National Provider Identifier) 1417057233 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Providence Health Care is physically located?

The Providence Health Care is physically situated at the following address: 1015 East D Street, Deer Park, WA, 990060742.

What is the Providence Health Care's specialty and taxonomy code?

The Providence Health Care's specialty is Critical Access, and the corresponding taxonomy code is 282Nc0060X.

When did the Providence Health Care receive its 1417057233?

The Providence Health Care was issued its 1417057233 on 2006-09-22, which is the date when the organization was assigned this unique identifier.

As of what date were the Providence Health Care's details last updated?

The information pertaining to the Providence Health Care, including its address, specialty, and other details, was most recently updated on 2008-10-22.

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