Organization · Type 2 NPI

Providence Health & Services - Washington

Substance Use Disorder Rehabilitation Hospital Unit · Lacey, WA

NPI number 1467462952 Active

Practice location

4800 College St SE
Lacey, WA 98503-4389

Call (360) 456-7575 Map

Fax (360) 493-5088

Mailing address

909 N Broadway, Pbo/credentialing
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.)

47 other providers at this address

NPI record

NPI: 1467462952
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: Jul 25, 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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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467462952

Providence Health & Services - Washington's National Provider Identifier is 1467462952, issued on Aug 8, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Hospital Unit (276400000X), and the practice location is in Lacey, WA. The record was last updated on Jul 25, 2025.