Organization · Type 2 NPI
Providence Health & Services Washington
Rural Health Clinic/Center · Chewelah, WA
NPI number
1639892672
Active
Practice location
100 W South Ave
Chewelah, WA 99109-9684
Fax (509) 935-0970
Mailing address
PO Box 31001-4114
Pasadena, CA 91110-4114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1639892672
Providence Health & Services Washington's National Provider Identifier is 1639892672, issued on Sep 23, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Chewelah, WA. The record was last updated on May 5, 2025.