Organization · Type 2 NPI

Providence Health & Services - Washington

Substance Use Disorder Rehabilitation Hospital Unit · Hoquiam, WA

NPI number 1043374119 Active

Practice location

508 Quarter Eighth Street
Hoquiam, WA 98550

Call (360) 533-8813 Map

Mailing address

909 N Broadway, Pbo/credentailing
Everett, WA 98201-1409

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Hospital Unit Primary	276400000X	None listed

Substance Use Disorder Rehabilitation Hospital Unit: A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

NPI record

NPI: 1043374119
Entity type: Organization (Type 2)
Issued: Dec 21, 2006
Last updated: May 13, 2025
Status: Active

Other names

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Providence St. Peter Chemical Dependency Center · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secreatry for Enrollment
(425) 358-9786

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About NPI 1043374119

Providence Health & Services - Washington's National Provider Identifier is 1043374119, issued on Dec 21, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Hospital Unit (276400000X), and the practice location is in Hoquiam, WA. The record was last updated on May 13, 2025.