Active NPI
Providence Health & Services - Wa
- Mammography Radiologic Technologist
- Spokane, WA
National Provider Identifier
1265669451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- Legal business name
- PROVIDENCE HEALTH & SERVICES - WA
- Practice address
- 101 W 8TH Ave
Women'S Health Center
Spokane, WA 99204-2307 - Phone
- (877) 474-2400
- Fax
- (509) 474-3129
- NPI assigned
- Jun 16, 2009
- Organization subpart
- Yes
- Parent organization
- PROVIDENCE HEALTH & SERVICES - WA
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | Primary | ||
| Mobile Mammography Clinic/Center | 261QR0207X |
Addresses
Primary practice location
101 W 8TH Ave
Women'S Health Center
Spokane, WA 99204-2307
Mailing address
PO Box 2555
Women'S Health Center
Spokane, WA 99220-2555
Phone (877) 474-2400
Other names 1
- PROVIDENCE MOBILE MAMMOGRAPHY COACH
National Provider Directory
National Provider Directory- Part of
- Providence Health Services
Locations
101 W 8th Ave
Ste 1200
Spokane, WA 99204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1265669451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2555",
"address_2": "WOMEN'S HEALTH CENTER",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992202555",
"telephone_number": "877-474-2400",
"fax_number": "509-474-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 8TH AVE",
"address_2": "WOMEN'S HEALTH CENTER",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042307",
"telephone_number": "877-474-2400",
"fax_number": "509-474-3129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE HEALTH & SERVICES - WA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES - WA",
"enumeration_date": "2009-06-16",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"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": "2471M2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Mammography",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0207X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROVIDENCE MOBILE MAMMOGRAPHY COACH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.