PROVIDENCE HEALTH & SERVICES - WASHINGTON – NPI #1881900900
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

PROVIDENCE HEALTH & SERVICES - WASHINGTON is a provider located in PLUMMER, ID. NPPES has assigned the NPI number 1881900900 to PROVIDENCE HEALTH & SERVICES - WASHINGTON on August 26, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Aug 01, 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
1881900900
Enumeration Date

(about 16 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
1115 B STREET
PLUMMER, ID 83851-0000
Phone: (208) 686-1931 Fax:
Mailing address
122 W 7TH AVE
SPOKANE, WA 99204-2349
Phone: (509) 838-7711 Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
Aug 01, 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.

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.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

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.