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

PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1225763949
Clinic/Center - Rural Health in Centralia, WA

Active since July 18, 2022
1010 S SCHEUBER RD, CENTRALIA, WA 98531(360) 827-7966 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Jul 28, 2022 and 1 more (4 updates tracked since 2022).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1225763949), doing business as Pmg Sw Wa, is a healthcare organization registered as a rural health in Centralia, Washington and active in the NPI registry since July 2022. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1225763949
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1010 S SCHEUBER RDCentralia, WA 98531-8892
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (360) 827-7966
Phone(360) 827-7966
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 358-9786
Enumeration DateJuly 18, 2022
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1225763949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
1010 S SCHEUBER RD, Centralia, WA 98531
Open in Google Maps ↗

Other Names 2

Doing Business AsPmg Sw Wa
Other NameCentralia Internal Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 9

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

NDEYE ANTA SENE
Nurse Practitioner (Adult Health)
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 827-7966
RAMONA ANDERSON RN
Internal Medicine
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 827-7966
DAVID NICHOLAS CLARK PT,DPT
Physical Therapist
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 480-1506
DR. ROMIL WADHAWAN MD
Internal Medicine
1010 S SCHEUBER RD, SUITE 3&4
CENTRALIA, WA 98531
Lewis County (360) 807-7966
SHARON C FURRER MS, RD, CD,CDE
Dietitian, Registered
1010 S SCHEUBER RD, PMG SW WA DM MNT CENTRALIA
CENTRALIA, WA 98531
Lewis County (360) 807-7960
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 807-7974
CULLEN OWEN D.O.
Internal Medicine
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 827-7966
SAMANTHA LYNN OWEN DNP, ARNP, FNP-C
Nurse Practitioner (Family)
1010 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 827-7966

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 1225763949. It was assigned to this organization in the NPPES registry on July 18, 2022. The provider is doing business as Pmg SW Wa. The provider is also known as Centralia Internal Medicine.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1010 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 827-7966.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska 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 12, 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.