| NPI | 1982848057 |
|---|---|
| Other Name | PROVIDENCE CHASE MEDICAL COMPLEX DME |
| Entity Type | Organization |
| Authorized Contact | SUSAN A COLUMBER Rcm Director 509-522-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA HAC.FS.00000050) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |