PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1538413109
Clinic/Center - Rural Health in Kettle Falls, WA

Q: 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.

Active since November 05, 2012

840 S MEYERS ST, KETTLE FALLS, WA 99141(509) 685-7848 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Feb 10, 2025, Oct 15, 2019 (3 updates tracked since 2019).

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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 1538413109), doing business as Providence Northeast Washington Medical Group - Kettle Falls, is a healthcare organization registered as a rural health in Kettle Falls, Washington and active in the NPI registry since November 2012. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1538413109

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON

Location Address840 S MEYERS STKettle Falls, WA 99141-7005

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 685-7848

Phone(509) 685-7848

Organization SubpartNo

Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateNovember 5, 2012

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1538413109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

840 S MEYERS ST, Kettle Falls, WA 99141

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Other Names 1

Doing Business AsProvidence Northeast Washington Medical Group - Kettle Falls

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. SAMUEL A ARTZIS MD

Family Medicine