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PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1639892672
Clinic/Center - Rural Health in Chewelah, WA

Active since September 23, 2022
100 W SOUTH AVE, CHEWELAH, WA 99109(509) 935-8111(509) 935-0970 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Feb 10, 2025, Sep 23, 2022 (3 updates tracked since 2022).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1639892672), doing business as Providence Family Medicine Chewelah, is a healthcare organization registered as a rural health in Chewelah, Washington and active in the NPI registry since September 2022. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1639892672
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address100 W SOUTH AVEChewelah, WA 99109-9684
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 935-8111 · Fax (509) 935-0970
Phone(509) 935-8111
Fax(509) 935-0970
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 23, 2022
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1639892672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
100 W SOUTH AVE, Chewelah, WA 99109
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Other Names 1

Doing Business AsProvidence Family Medicine Chewelah

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 3

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

TESSA ELIZABETH MOORE MD
Family Medicine
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111
DR. CALEB CHRISTMAN HOLTZER M.D.
Family Medicine
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111
MELANIE SUZANNE BARNES MD
Family Medicine
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111

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 1639892672. It was assigned to this organization in the NPPES registry on September 23, 2022. The provider is doing business as Providence Family Medicine Chewelah.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 100 W South Ave, Chewelah, WA 99109. The listed phone number is (509) 935-8111.

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.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska 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 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.