1043241540 NPI number — PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT

Table of content: DR. NOELLE KAY HASSON PHARMD (NPI 1114290418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043241540 NPI number — PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
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:
Provider Other Organization Name Type Code:
6
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:
1043241540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 103510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91189-3570
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-814-7575
Provider Business Mailing Address Fax Number:
360-445-8592

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
875 WESLEY ST
Provider Second Line Business Practice Location Address:
STE 130
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98223-1613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-435-6525
Provider Business Practice Location Address Fax Number:
360-435-2634
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CESENA
Authorized Official First Name:
TAMARA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
360-445-8512

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  HAC.FS.0000106 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: HAC.FS.00000106 , 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: 2058822 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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