Providence Health & Services Washington
NPI 1366641755 · Substance Use Disorder Rehabilitation Clinic/Center · Lacey, WA
Providence Health & Services Washington is a Substance Use Disorder Rehabilitation Clinic/Center organization in Lacey, WA (NPI 1366641755).
Provider details
- NPI number
- 1366641755
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secreatry for Enrollment(425) 358-9786
- License
- 34 0153 00 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Other name
- Providence St Peter Hospital - 2nd Claims
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Frequently asked questions
- What is Providence Health & Services Washington's NPI number?
- Providence Health & Services Washington's National Provider Identifier (NPI) is 1366641755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services Washington?
- Providence Health & Services Washington is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Health & Services Washington located?
- Providence Health & Services Washington's practice location on file with NPPES is 4800 College St Se, Lacey, WA 98503-4389.
- What is Providence Health & Services Washington's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services Washington is (360) 456-7575.
- Who is the authorized official for Providence Health & Services Washington?
- The authorized official listed on Providence Health & Services Washington's NPPES record is Donald Anderson, Assistant Secreatry for Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services Washington's NPI active?
- Yes — Providence Health & Services Washington's NPI (1366641755) is active in the NPPES registry as of the last update on 2025-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.