PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1528267804
Clinic/Center - Radiology, Mammography in Centralia, WA

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

Active since July 16, 2007

908 S SCHEUBER RD, CENTRALIA, WA 98531(360) 330-8880 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1528267804), doing business as Providence Imaging Center, is a healthcare organization registered as a radiology, mammography in Centralia, Washington and active in the NPI registry since July 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1528267804

Entity TypeOrganization

Primary Taxonomy261QR0206X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address908 S SCHEUBER RDCentralia, WA 98531-9027

Mailing Address909 N Broadway, Pbo/credentialingEverett, WA 98201-1409 · (425) 317-0246 · Fax (425) 317-0291

Phone(360) 330-8880

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateJuly 16, 2007

Last NPPES UpdateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1528267804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities

Taxonomy Code261QR0206X

License✔ Licensed in WA · 602399531

908 S SCHEUBER RD, Centralia, WA 98531

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Other Names 1

Doing Business AsProvidence Imaging Center

Other Identifiers 1

Medicaid7124043WA

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 1528267804. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is doing business as Providence Imaging Center.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 908 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 330-8880.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on May 16, 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.