1. Home
  2. Directory
  3. Washington
  4. College Place
  5. General Practice
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1023563897
General Practice in College Place, WA

Active since August 22, 2016
1705 SE MEADOWBROOK BLVD, SUITE 2, COLLEGE PLACE, WA 99324(509) 987-2450 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Nov 26, 2017, Aug 22, 2016 (3 updates tracked since 2016).

About Providence Health & Services Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1023563897), doing business as Providence Health & Services Washington (pmg Se Wa) - Express Care, is a healthcare organization registered as a general practice in College Place, Washington and active in the NPI registry since August 2016. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1023563897
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1705 SE MEADOWBROOK BLVD, SUITE 2College Place, WA 99324-1756
Mailing AddressPo Box 32Liberty Lake, WA 99019-0032
Phone(509) 987-2450
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateAugust 22, 2016
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1023563897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1705 SE MEADOWBROOK BLVD, College Place, WA 99324
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Health & Services Washington (pmg Se Wa) - Express Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1023563897. It was assigned to this organization in the NPPES registry on August 22, 2016. The provider is doing business as Providence Health & Services Washington (PMG SE WA) - Express Care.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1705 SE Meadowbrook Blvd Suite 2, College Place, WA 99324. The listed phone number is (509) 987-2450.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.