PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1225763949
Clinic/Center - Rural Health in Centralia, WA
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
Specialties & Licenses 2
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
645Medicare enrollment records show 645 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 645Centralia, WA 98531
Centralia, WA 98531
Centralia, WA 98531
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Providence Health & Services Washington enrolled in Medicare?
Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 645 clinicians in 42 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (121), Family Practice (104) and Internal Medicine (74). Of these, 6 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services Washington accept?
Health plans from Ambetter Health and 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 17 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.
# Providence Health & Services Washington · NPI 1225763949
Rural Health organization in Centralia, Washington. Organization record, active in the CMS NPPES registry since July 18, 2022.
## Identity
- **NPI:** 1225763949 (Entity type: Organization)
- **Enumerated:** July 18, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** PMG SW WA (Doing Business As); Centralia Internal Medicine (Other Name)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY FOR ENROLLMENT
## Practice location
- **Address:** 1010 S SCHEUBER RD, Centralia, WA 98531-8892
- **Phone:** (360) 827-7966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 645 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (121), Family Practice (104), Internal Medicine (74); 6 practice at this address and 52 within 10 miles; [full list](https://npiprofile.com/npi/1225763949/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225763949) · Data from the CMS NPPES public registry.