| NPI | 1508000142 |
|---|---|
| Other Name | PROVIDENCE SMMC URGENT CARE DME |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLUMBER Rcm Director 5095-225-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WA HAC.FS.00000050) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |