| NPI | 1699926402 |
|---|---|
| Other Name | PROVIDENCE ST MARY MED CTR ER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA H-050) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-01-25 |