Organization provider

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Family Medicine Physician Internal Medicine Physician Pediatrics Physician

PROVIDENCE HEALTH & SERVICES - WASHINGTON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063663458, based in Marysville, WA. The organization lists 5 taxonomy classifications, with Family Medicine Physician recorded as primary.

Getting there

The practice address on file is 11603 STATE AVE SUITE G, Marysville, WA 98271. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11603 STATE AVE SUITE G, Marysville, WA 98271 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician primary
207R00000X Internal Medicine Physician
208000000X Pediatrics Physician
208D00000X General Practice Physician
332B00000X Durable Medical Equipment & Medical Supplies

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063663458 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 4, 2008
Last updatedMay 12, 2025
StatusActive
Practice address 11603 STATE AVE
SUITE G
Marysville, WA 98271
(360) 658-6800
Fax (360) 658-6819
Mailing address PO BOX 31001-4114
Pasadena, CA 91110
This record was updated on May 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1063663458 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 6 3 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 6 6 4 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063663458?
NPI 1063663458 is the National Provider Identifier assigned to PROVIDENCE HEALTH & SERVICES - WASHINGTON in Marysville, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact PROVIDENCE HEALTH & SERVICES - WASHINGTON?
The phone number on file with NPPES is (360) 658-6800, last updated May 12, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063663458 a valid number?
Yes. 1063663458 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.