| NPI | 1053562876 |
|---|---|
| Other Name | PROVIDENCE ST MARY DME |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLUMBER Dir Of Revenue Cycle Management 509-522-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA H-050) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2009-06-12 |