| NPI | 1508949884 |
|---|---|
| Doing Business As | PROVIDENCE MEDFORD MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-02-21 |