PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1316433527
Clinical Medical Laboratory in Walla Walla, WA

Active since July 11, 2018
1025 S 2ND AVE, WALLA WALLA, WA 99362(509) 897-5174 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Jul 11, 2018 (2 updates tracked since 2018).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1316433527), doing business as Pmg Se Wa - Lab, is a healthcare organization registered as a clinical medical laboratory in Walla Walla, Washington and active in the NPI registry since July 2018. The organization lists Donald Wayne Anderson, Asst Secretary-enrollment/admin Dir, as its authorized official.

NPPES Registry Identity

NPI1316433527
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1025 S 2ND AVEWalla Walla, WA 99362-4116
Mailing AddressPo Box 32Liberty Lake, WA 99019-0032
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary-enrollment/admin Dir · (425) 358-9786
Enumeration DateJuly 11, 2018
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1316433527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in WA · MTSC.FS.60877120
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1025 S 2ND AVE, Walla Walla, WA 99362

Other Names 1

Doing Business AsPmg Se Wa - Lab

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

275

Medicare enrollment records show 275 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Neurology42
Nurse Practitioner33
Internal Medicine26
Physical Therapist in Private Practice19
Emergency Medicine17
Family Practice16
Hospitalist16
General Surgery12
27 other specialties94

Nearest to this location (20)

See all 275
Qualified Speech Language Pathologist
NPI 1659162758
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1790903789
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1114350154
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1730262726
1025 S 2ND AVE
Walla Walla, WA 99362
(095) 897-3000
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1316781008
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1578436275
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1508274994
1025 S 2ND AVE
Walla Walla, WA 99362
(095) 897-2100
Same address
Family Practice
NPI 1093945446
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-3000
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1053399287
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1336586569
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
Same address
Physical Therapist in Private Practice
NPI 1285107748
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Family Practice
NPI 1447302658
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-3000
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1225689946
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1669728648
1025 S 2ND AVE
Walla Walla, WA 99362
(509) 897-2100
Same address
Otolaryngology
NPI 1609210525
1017 S 2ND AVE STE 1
Walla Walla, WA 99362
(509) 897-8200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1275557928
1017 S 2ND AVE STE 2
Walla Walla, WA 99362
(509) 897-3050
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1891526695
1017 S 2ND AVE STE 4
Walla Walla, WA 99362
(509) 897-8200
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1346946415
1111 S 2ND AVE
Walla Walla, WA 99362
(509) 897-3700
✔ Accepts Medicare0.1 mi
General Surgery
NPI 1215312772
380 CHASE AVE
Walla Walla, WA 99362
(095) 897-3790
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1447264841
380 CHASE ST INTERNAL MEDICINE
Walla Walla, WA 99362
(509) 525-8110
✔ PECOS✔ Accepts Medicare0.7 mi
See all 275 clinicians

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 1316433527. It was assigned to this organization in the NPPES registry on July 11, 2018. The provider is doing business as PMG SE WA - Lab.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1025 S 2nd Ave, Walla Walla, WA 99362. The listed phone number is (509) 897-5174.

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

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

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), 275 clinicians in 35 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 Neurology (42), Nurse Practitioner (33) and Internal Medicine (26). Of these, 14 practice at this address and 110 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 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 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.