NPIMap

Organization Active NPI

Providence Health & Services - Wa

Doing business as Providence Lifeline

  • Emergency Response System Companies
  • Everett, WA
National Provider Identifier
1972927267
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
Legal business name
PROVIDENCE HEALTH & SERVICES - WA
Doing business as
Providence Lifeline
Practice address
2731 Wetmore Ave
Suite 500
Everett, WA 98201-3571
Phone
(425) 261-4800
Fax
(425) 261-4819
NPI assigned
Feb 7, 2014
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollment
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Response System Companies 333300000X NU Primary

Addresses

Primary practice location

2731 Wetmore Ave
Suite 500
Everett, WA 98201-3571

Mailing address

PO Box 94349
Seattle, WA 98124-6649
Phone (425) 261-4800

Other names 1

  • Providence Lifeline Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Health Services - Wa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2731 Wetmore Ave
Ste 500
Everett, WA 98201
Phone (425) 261-4800

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1972927267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94349",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246649",
            "telephone_number": "425-261-4800",
            "fax_number": "425-261-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 WETMORE AVE",
            "address_2": "SUITE 500",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013571",
            "telephone_number": "425-261-4800",
            "fax_number": "425-261-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.