| NPI | 1831334598 |
|---|---|
| Doing Business As | PROV SCRED HRT MED CTR & CHLDS HOS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2020-09-08 |