1003016866 NPI number — WHITMAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Table of content: (NPI 1003016866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003016866 NPI number — WHITMAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITMAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GARFIELD-FARMINGTON EMS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003016866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 391
Provider Second Line Business Mailing Address:
AMBULANCE SERVICE
Provider Business Mailing Address City Name:
GARFIELD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99130-0391
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-635-1240
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
405 WEST CALIFORNIA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARFIELD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-635-1240
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CURTIS
Authorized Official First Name:
CHERYLE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
MEMBER, BOARD OF COMMISSIONERS
Authorized Official Telephone Number:
509-635-1652

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  38X02 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FJ130 . This is a "QUAL-MED" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 24471 . This is a "GROUP HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9518309 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590002556 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 71762 . This is a "DEPARTMENT OF L&I" identifier . This identifiers is of the category "OTHER".