| NPI | 1104903657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T PAQUETTE CEO, Providence Health 913-596-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |