OrganizationActive
Providence Health & Services - Washington
NPI 1053562876 · Durable Medical Equipment & Medical Supplies · Walla Walla, WA
Provider details
- NPI number
- 1053562876
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- H-050 (WA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
380 Chase Ave
Walla Walla, WA 99362-2924
Phone: (509) 522-5900
Fax: (509) 522-5578
Street-level locationGet directions
Mailing address
Po Box 1477
Walla Walla, WA 99362-0312
Other names (DBA / former)
- Other name
- Providence St Mary Dme
Registry dates
- Enumerated
- 2008-10-10
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.