Providence Health & Services Washington

A Medicare group practice based in Centralia, WA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 9234048323), with 86 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234048323The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Providence Health and Services WashingtonName in Care Compare
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Radiation Therapy Center
Enrolled in
WA
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040227000254 WA Part B Supplier - Clinic/Group Practice 1376624981
O20041122001274 WA Part A Provider - Hospital 1376624981
O20160323001336 WA Part B Supplier - Radiation Therapy Center 1457721250

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 86

Clinicians who reassign their Medicare benefits to this group (86) or whom Care Compare lists as members (11).

Sources for this page