| NPI | 1366641755 |
|---|---|
| Other Name | PROVIDENCE ST PETER HOSPITAL - 2ND CLAIMS |
| Entity Type | Organization |
| Authorized Contact | NICOLE QUINN Payor Credentiailing Manager 425-525-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 34 0153 00) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-12-22 |