The information in this online directory is updated at least monthly. The ailability of physicians, hospitals, providers and services may change day-to-day. For the most up-to-date information, please contact PHP Customer Service at 800-878-4445, 8 a.m. to 5 p.m. Monday-Friday. Information about providers is provided to us directly by the providers or is obtained as part of the credentialing process.
Providence makes every effort to ensure that this list of providers is up to date and accurate. Information listed in this directory is not guaranteed and may be subject to change without notice. For the most up-to-date information, please verify that the provider you he selected is covered by your plan. You may do this by contacting customer service at 800-878-4445 or by calling the provider prior to scheduling an appointment to verify that he or she is covered by your plan and is accepting new patients.
To request a printed copy of our provider directory, or please call Customer Service at 800-878-4445, 8 a.m. to 5 p.m. Monday-Friday, Providence Health Plan will mail a hard copy of the provider directory to you within three (5) business days of your request. Providence Health Plan may ask whether your request for a hard copy is a one-time or permanent request. Customer Service can also provide information about practitioner race/ethnicity upon request.
To report information you believe to be listed inaccurately in the provider directory, please call 800-878-4445, send an email to PHPPRcontactus@providence.org or login to your myProvidence account and use the secure chat feature. Please be sure to he the provider(s) and/or facility name, location and description of the error ailable.
Practitioners and hospitals in the Providence Health Plan networks must meet Providence Health Plan credentialing requirements. Providence Health Plan does not currently use specific quality measures, member experience measures, patient safety measures or cost-related measures to determine our networks, including our Marketplace networks.
Important Mental Health and Substance Use Disorder Treatment Information
Carrier discipline findings by WA OIC for failure to meet access standards: None issued to date
Plan enrollees may file a complaint with the Washington Office of the Insurance Commissioner by calling the commissioner's toll-free insurance consumer hotline at 1- 800-562-6900 or https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status
For information concerning any disciplinary action or malpractice history for Washington providers, please use this link: https://fortress.wa.gov/doh/providercredentialsearch/