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Providence Health & Services Washington

Home Health Agency in Lacey, WA · enumerated 2005 · authorized official Donald Anderson, Assistant Secretary Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063415198

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Washington
Other name <Unavail>
Practice address 4200 6th Ave Se, Suite 201, Lacey, WA, 98503
Fax (360) 493-4657
Enumeration date May 23, 2005
Last updated in NPPES May 16, 2025

Taxonomy & classification

251E00000X Home Health Agency Agencies · License IS-420 (WA) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollments

Other identifiers

Identifier Type State Issuer
9040452 Medicaid WA -
9040460 Medicaid WA -
9040486 Medicaid WA -
9040478 Medicaid WA -
9048661 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Health & Services Washington?
The NPI for Providence Health & Services Washington is 1063415198, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health & Services Washington?
NPPES lists Donald Anderson (Assistant Secretary Enrollments) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-16.