| NPI | 1972039170 |
|---|---|
| Other Name | PROVIDENCE SEASIDE HOSPITAL, PROVIDENCE WARRENTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD ANDERSON Asst Sec For Corp Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2018-05-15 |