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PROVIDENCE CENTRALIA WOMEN'S CENTER
NPI 1457460180
Specialist in Centralia, WA

Active since August 29, 2006CLIA 50D0982819 · Waiver
1000 S SCHEUBER RD, CENTRALIA, WA 98531(360) 330-8950(360) 330-8955 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Centralia Women's Center NPPES

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

PROVIDENCE CENTRALIA WOMEN'S CENTER (NPI 1457460180) is a healthcare organization registered as a specialist in Centralia, Washington and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathleen Nurmi, Dir Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1457460180
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1000 S SCHEUBER RDCentralia, WA 98531-8877
Mailing Address909 N Broadway, Pbo/credentialingEverett, WA 98201-1409 · (425) 317-0246 · Fax (425) 317-0291
Phone(360) 330-8950
Fax(360) 330-8955
Organization SubpartNo
Authorized OfficialKathleen NurmiDir Revenue Cycle Management · (360) 493-4081
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 9, 2008
✔ NPI 1457460180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1000 S SCHEUBER RD, Centralia, WA 98531
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Other Names 1

Doing Business AsProvidence Centralia Women's Center

Other Identifiers 3

OtherAB23193WA · Medicare Group
Medicare ID-Type UnspecifiedAB23193
Medicaid7107089WA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0982819

Providence Centralia Women's Center · Centralia, WA
Active · expires Apr 4, 2028
CLIA Number50D0982819
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMark Nishiyama
Laboratory Phone(360) 740-8366
Laboratory LocationProvidence Centralia Women's Center1000 South Scheuber Road, Centralia, WA 98531
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

MARK NISHIYAMA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
BEVERLY ANN HUDDLESTON ARNP
Nurse Practitioner (Obstetrics & Gynecology)
1000 S SCHEUBER RD, PMG SW WA CENTRALIA WOMEN CENTER
CENTRALIA, WA 98531
Lewis County (360) 330-8950
LAURIE STUART RNC
Registered Nurse (Registered Nurse First Assistant)
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
ELISHA MVUNDURA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
MOHAMMED AL QARAGHOULI M.D.
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
EVELYN S ESTRADA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
KRISTINE R GUYETTE RN
Registered Nurse (Registered Nurse First Assistant)
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
RITU KAUR BUTTAR
Student in an Organized Health Care Education/Training Program
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950

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 1457460180. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Providence Centralia Women's Center.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1000 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 330-8950.

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

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Providence Health & Services - Washington hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0982819) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.