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Providence Health & Services Washington

Clinic/Center in Lacey, WA · enumerated 2007 · authorized official Donald Anderson, Assistant Secretary for Enrollment.

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

National Provider Identifier

1063611408

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Washington
Practice address 420 Golf Club Rd Se, Suite 203, Lacey, WA, 98503
Phone (360) 493-7469
Fax (360) 459-2023
Enumeration date Jul 16, 2007
Last updated in NPPES Jul 25, 2025

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License H-159 (WA) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary for Enrollment
Phone (425) 358-9786

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 1063611408, 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 for Enrollment) 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 2025-07-25.