Providence Health Care

NPI 1043306541 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1043306541
Enumeration Date 10/04/2006
Last Updated 04/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY GARY
Position CHIEF EXECUTIVE OFFICER
Phone (509) 935-8211
Fax (509) 935-5205
Practice Location
500 E WEBSTER AVE
CHEWELAH WA, 99109-9523, US
Phone (509) 935-8211
Fax (509) 935-5205
Business Location
PO BOX 197
500 EAST WEBSTER
CHEWELAH WA, 99109-0197, US
Phone (509) 935-8211
Fax (509) 935-5205
Toxanomy
Taxonomy Code 314000000X
License State Washington
License Number H-194
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According to our database, Providence Health Care NPI is 1043306541, taxonomy code is 314000000X and license number is H-194, license state is located at Washington. Providence Health Care physically located at 500 E Webster Ave, Chewelah WA, 99109-9523. NPI Number 1033115704 has the healthcare provider type.

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1043306541 NPI number is provided on an as is basis without warranty of any kind. 1043306541 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Health Care are for informational purposes only.