Providence Health & Services - Washington

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing business as

Providence St. Peter Chemical Dependency Center

Practice address

508 Quarter Eighth Street
Hoquiam, WA 98550

Phone

(360) 533-8813

NPI assigned

Dec 21, 2006

Last updated

May 13, 2025By the provider in NPPES

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 Secreatry for Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence St. Peter Chemical Dependency Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Providence Health & Services - Washington

  dba Providence St. Peter Chemical Dependency Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Shelton, WA
  • NPI 1073677605

  O20040311001453

  Same enrollment
• Providence Health & Services - Washington

  dba Providence St Peter Chemical Dependency Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Lacey, WA
  • NPI 1467462952

  O20040311001453

  Same enrollment
• Providence Health & Services Washington

  dba Providence North East Washington Medical Group

  • Family Medicine Physician
  • Colville, WA
  • NPI 1083968879

  O20040311001453

  Same enrollment
• Providence Health & Services Washington

  dba Providence Medical Group

  • Pulmonary Disease Physician
  • Spokane, WA
  • NPI 1194099390

  O20040311001453

  Same enrollment
• Providence Health & Services Washington

  dba PMG PHC Providence Express Care

  • General Practice Physician
  • Spokane, WA
  • NPI 1306391446

  O20040311001453

  Same enrollment
• Providence Health & Services Washington

  dba Providence Family Medicine Chewelah

  • Rural Health Clinic/Center
  • Chewelah, WA
  • NPI 1639892672

  O20040311001453

  Same enrollment
• Providence Heath & Services - Washington

  dba Providence St. Peter Chemical Dependency Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Belfair, WA
  • NPI 1881758472

  O20040311001453

  Same enrollment

Locations (25 of 60)

Practitioners 701

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samer Abdulkhalek, MD

  • Nephrology Physician
  • Spokane, WA
  • NPI 1205321262
  NPD (past)
• Elise Caroline Abel, M.A., CF-SLP

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1295349835
  NPD (past)
• Jamil Abou-Harb, MD

  • Pediatric Gastroenterology Physician
  • Spokane, WA
  • NPI 1891712980
  NPD (past)
• Ann Alexander Abraham, M.D.

  • Pediatric Gastroenterology Physician
  • Spokane, WA
  • NPI 1376938514
  NPD (past)
• Virginie Achim, MD

  • Surgery Physician
  • Spokane, WA
  • NPI 1598085383
  NPD (past)
• Rachel Adams, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1447745286
  NPD (past)
• Shira Albert, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1063817831
  NPD (past)
• Chayene Peterson Albuquerque, FNP-C

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1285976803
  NPD (past)
• Coralyn Jill Alexander, MD, PA

  • Psychiatry Physician
  • Spokane, WA
  • NPI 1194713487
  NPD (past)
• Kimberly Gayle Alexander, ARNP

  • Pediatric Nurse Practitioner
  • Spokane, WA
  • NPI 1851303465
  NPD (past)
• Stephanie Alteen

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1043006620
  NPD (past)
• Catherine W Amundson, ARNP

  • Nurse Practitioner
  • Redmond, WA
  • NPI 1487654257
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1043374119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BROADWAY",
            "address_2": "PBO/CREDENTAILING",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011409",
            "telephone_number": "425-317-0246",
            "fax_number": "425-317-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 QUARTER EIGHTH STREET",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "98550",
            "telephone_number": "360-533-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence St. Peter Chemical Dependency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn M Peterson
• Christie Lynn Pflughaupt
• Debra Phillips
• Douglas Charles Pierce, DC
• George H Powers, DC
• Providence Health & Services Washington (Providence St Peter Hospital)
• Paul Ryan Que Sanchez, PT
• Amy Lyn Rasler
• Samantha Rasler
• Sarah Jean Reed

• Substance Use Disorder Rehabilitation Hospital Unit in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.