| NPI | 1891947263 |
|---|---|
| Doing Business As | PROV SACRED HRT MED CTR & CHILDS HOSP |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2020-09-21 |