NPI | 1144471715 |
---|---|
Doing Business As | PROV SCRED HRT MED CTR & CHLDS HOS |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital |
Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: WA HAC.FS.00000162) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2025-01-10 |