| Providence Health & Services - Washington | |
|
401 W Poplar St Walla Walla WA 99362-2846 | |
| (509) 522-5802 | |
| (509) 522-5541 |
| Full Name | Providence Health & Services - Washington |
|---|---|
| Speciality | Emergency Medicine |
| Location | 401 W Poplar St, Walla Walla, Washington |
| Authorized Official Name and Position | Donald W. Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services - Washington Po Box 31001-4114 Pasadena CA 91110-4114 Ph: (509) 522-5906 | Providence Health & Services - Washington 401 W Poplar St Walla Walla WA 99362-2846 Ph: (509) 522-5802 |
| NPI Number | 1699926402 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699926402 | NPI | - | NPPES |
| 7159205 | Medicaid | WA | |
| 025341 | Other | WA | L&I STATE |
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