| NPI | 1649344458 |
|---|---|
| Doing Business As | PROVIDENCE SEASIDE HOSPITAL, PROVIDENCE SEASIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD ANDERSON Asst Corp Sec For Enrollments 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-06-06 |