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Providence Health & Services Washington

Substance Use Disorder Rehabilitation Clinic/Center in Shelton, WA · enumerated 2009 · authorized official Donald Anderson, Assistant Secreatry for Enrollment.

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

National Provider Identifier

1073744850

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Washington
Other name <Unavail>
Practice address 2505 Olympic Hwy N., Ste 140, Shelton, WA, 98584
Phone (360) 432-8692
Fax (360) 432-9902
Enumeration date Jul 28, 2009
Last updated in NPPES May 15, 2025

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary
276400000X Substance Use Disorder Rehabilitation Hospital Unit Hospital Units Secondary

Authorized official

Name Donald Anderson
Title Assistant Secreatry 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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Providence Health & Services Washington?
Providence Health & Services Washington is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-15.