| NPI | 1144471715 |
|---|---|
| Doing Business As | PROV SCRED HRT MED CTR & CHLDS HOS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Director Reimbursement Admin 425-525-5392 |
| 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 | 2018-05-21 |