PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1699926402
Emergency Medicine in Walla Walla, WA

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since October 10, 2008

401 W POPLAR ST, WALLA WALLA, WA 99362(509) 522-5802(509) 522-5541 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 7, 2025, Feb 10, 2025, Jan 25, 2023 (3 updates tracked since 2023).

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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 1699926402) is a healthcare organization registered as an emergency medicine in Walla Walla, Washington and active in the NPI registry since October 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1699926402

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address401 W POPLAR STWalla Walla, WA 99362-2846

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 522-5906 · Fax (509) 522-5789

Phone(509) 522-5802

Fax(509) 522-5541

Organization SubpartNo

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

Enumeration DateOctober 10, 2008

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1699926402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · H-050

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

401 W POPLAR ST, Walla Walla, WA 99362

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Other Names 1

Other NameProvidence St Mary Med Ctr Er

Other Identifiers 2

Medicaid7159205WA

Other025341WA · L&i State

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

PATRICK R SMART ARNP

Nurse Practitioner

401 W POPLAR ST, SLEEP MEDICINE CENTER
WALLA WALLA, WA 99362

Walla Walla County (509) 522-5946

JENNIFER SIMPSON

Registered Nurse

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (817) 933-1868

JAMES WILLIAM ROSSMAN MD

Anesthesiology

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2002

DR. ROBERT JOHN BRAWDERS PHARMD

Pharmacist

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2055

KRISTA NEUENDORFF OTR/L

Occupational Therapist

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-5022

NORA KEOUGH COTA/L

Occupational Therapy Assistant

401 W POPLAR ST, REBAB SERVICE
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2100

JULIA THERESE CARTER MD

Physical Medicine & Rehabilitation

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2390

DR. PHILIP A GREEN MD

Emergency Medicine

401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362

Walla Walla County (509) 522-5802

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 1699926402. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is also known as Providence St Mary Med Ctr ER.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 401 W Poplar St, Walla Walla, WA 99362. The listed phone number is (509) 522-5802.

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Moda Health Plan, Inc. and 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 7, 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.