PROVIDENCE HEALTH & SERVICES WASHINGTON – NPI #1174744304
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PROVIDENCE HEALTH & SERVICES WASHINGTON is a provider located in OLYMPIA, WA. NPPES has assigned the NPI number 1174744304 to PROVIDENCE HEALTH & SERVICES WASHINGTON on May 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES WASHINGTON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI Number
1174744304
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Primary location
525 LILLY RD NE
OLYMPIA, WA 98506
Phone: (360) 793-7230 Fax:
1 Other location(s):
1018 Capitol Way S
Suite 300
Olympia, WA 98501-1212
Phone: (360) 486-6508
Fax: (360) 570-2077
Mailing address
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone: (877) 747-2455 Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROVIDENCE HEALTH & SERVICES WASHINGTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherL&IWA0062287
otherL&I CRIME VICTIMSWA8915131
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.