PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1467462952
Rehabilitation, Substance Use Disorder Unit in Lacey, 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 1467462952), doing business as Providence St Peter Chemical Dependency Center, is a healthcare organization registered as a rehabilitation, substance use disorder unit in Lacey, Washington and active in the NPI registry since August 2006. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Missoula, MT 59802
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 1467462952. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Providence St Peter Chemical Dependency Center.
Where is Providence Health & Services - Washington located?
Providence Health & Services - Washington is located at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 456-7575.
What is Providence Health & Services - Washington's specialty?
The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.
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), 7 clinicians in 4 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 Anesthesiology (4), Critical Care (Intensivists) (1) and General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services - Washington accept?
Health plans from 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 July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 1467462952
Rehabilitation, Substance Use Disorder Unit organization in Lacey, Washington. Organization record, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1467462952 (Entity type: Organization)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Rehabilitation, Substance Use Disorder Unit · taxonomy 276400000X
- **Also known as:** Providence St Peter Chemical Dependency Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECREATRY FOR ENROLLMENT
## Practice location
- **Address:** 4800 COLLEGE ST SE, Lacey, WA 98503-4389
- **Phone:** (360) 456-7575 · **Fax:** (360) 493-5088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (4), Critical Care (Intensivists) (1), General Surgery (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467462952) · Data from the CMS NPPES public registry.