Providence Health & Services - Washington

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4211918 Issued in WA

Legal business name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Practice address

914 S Scheuber Rd
Centralia, WA 98531-9027

Phone

(360) 330-8703

Fax

(360) 330-8706

NPI assigned

Sep 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary for Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence Centralia Hospital - Transitional Care Unit Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1033106687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "address_2": "PBO/CREDENTIALING",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439",
            "telephone_number": "425-525-6778",
            "fax_number": "425-525-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319027",
            "telephone_number": "360-330-8703",
            "fax_number": "360-330-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "4211918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Centralia Hospital - Transitional Care Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Premere Rehab LLC
• Joseph Prentice, MD
• James G Prestridge, D.P.M
• Sue Prince, SLP
• Kimberly Lynn Prine, LMP
• Providence Health & Services - Washington (Providence Centralia Hospital)
• Providence Health & Services - Washington (Providence Centralia Women's Center)
• Providence Health & Services - Washington (Providence Imaging Center)
• Providence Health & Services Washington
• Providence Health & Services Washington (PMG SW Wa)

• Skilled Nursing Facility in Centralia, WA
• Providers in Centralia, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.