OrganizationProvidence Health & Service- Washington(<Unavail>)AnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address101 W 8th Ave, Spokane, WA 99204(855) 600-5163(855) 394-4445PECOS EnrollmentBased on the most recent information from CMS, provider Providence Health & Service- Washington does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1508118555Provider TypeOrganizationFull NameProvidence Health & Service- WashingtonOther Name<Unavail>SubpartNoEnumeration Date10/15/2012Last Updated8/16/2018Contact InformationPractice LocationPractice Address101 W 8th Ave, Spokane, WA 99204Phone(855) 600-5163FaxUnlisted FaxMailing LocationMailing AddressPO Box 94645, Seattle, WA 98124-6945Phone(855) 394-4445FaxUnlisted FaxAuthorized OfficialNameAnderson, Donald W (Asst Sec For Enrollment)Phone(425) 525-5392Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer