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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1053562876
Durable Medical Equipment & Medical Supplies in Walla Walla, WA

Active since October 10, 2008
380 CHASE AVE, WALLA WALLA, WA 99362(509) 522-5900(509) 522-5578 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1053562876) is a healthcare organization registered as a durable medical equipment & medical supplies in Walla Walla, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1053562876
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address380 CHASE AVEWalla Walla, WA 99362-2924
Mailing AddressPo Box 1477Walla Walla, WA 99362-0312 · (509) 522-5906 · Fax (509) 522-5789
Phone(509) 522-5900
Fax(509) 522-5578
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 10, 2008
Last NPPES UpdateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1053562876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WA · H-050
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
380 CHASE AVE, Walla Walla, WA 99362
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Other Names 1

Other NameProvidence St Mary Dme

Other Identifiers 2

Medicaid9055955WA
Other008478WA · L&i State

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL BRADLEY
Physician Assistant
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-5950
MS. LEIKIN LOUISE LOUDERBACK ARNP
Nurse Practitioner (Family)
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-3333
DALARI ALLINGTON
Pharmacist
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5822
JOSHUA WICKS PA
Physician Assistant (Surgical)
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5820
ERNEST WILLIAM STEINLE M.D.
Surgery
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5765
JAMES MARKAM BARROW DPT
Physical Therapist (Geriatrics)
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-9600
DR. MOUSTAPHA DIMACHK M.D.
Surgery
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (095) 897-3790
TABITHA THOMAS RN
Family Medicine
380 CHASE AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-3700

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 1053562876. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is also known as Providence St Mary DME.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 380 Chase Ave, Walla Walla, WA 99362. The listed phone number is (509) 522-5900.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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.