| NPI | 1093976243 |
|---|---|
| Doing Business As | PROVIDENCE MEDFORD MEDICAL CENTER |
| Doing Business As | PROVIDENCE PALLIATIVE CARE SOUTH |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-12-27 |