| Providence Community Care Center | |
|
225 State Ave Ne Olympia WA 98501-6951 | |
| (360) 486-6400 | |
| Not Available |
| Full Name | Providence Community Care Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 225 State Ave Ne, Olympia, Washington |
| Authorized Official Name and Position | Donald Anderson (DIRECTOR REIMBURSEMENT ADMINISTRATI) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Community Care Center Po Box 3505 Portland OR 97208-3505 Ph: (360) 486-6400 | Providence Community Care Center 225 State Ave Ne Olympia WA 98501-6951 Ph: (360) 486-6400 |
| NPI Number | 1023550050 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023550050 | NPI | - | NPPES |
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