1. Home
  2. Directory
  3. Washington
  4. Shelton
  5. Clinic Center
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1073744850
Clinic/Center - Rehabilitation, Substance Use Disorder in Shelton, WA

Active since July 28, 2009
2505 OLYMPIC HWY N., STE 140, SHELTON, WA 98584(360) 432-8692(360) 432-9902 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1073744850), doing business as Providence St Peter Hospital, is a healthcare organization registered as a rehabilitation, substance use disorder in Shelton, Washington and active in the NPI registry since July 2009. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1073744850
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address2505 OLYMPIC HWY N., STE 140Shelton, WA 98584-2978
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 525-6778 · Fax (425) 525-6700
Phone(360) 432-8692
Fax(360) 432-9902
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateJuly 28, 2009
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1073744850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
2505 OLYMPIC HWY N., Shelton, WA 98584
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence St Peter Hospital

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 1073744850. It was assigned to this organization in the NPPES registry on July 28, 2009. The provider is doing business as Providence St Peter Hospital.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 2505 Olympic Hwy N. Ste 140, Shelton, WA 98584. The listed phone number is (360) 432-8692.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.