1992729461 NPI number — ADAMS COUNTY HOSPITAL 2

Table of content: (NPI 1992729461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992729461 NPI number — ADAMS COUNTY HOSPITAL 2

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADAMS COUNTY HOSPITAL 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:
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:
1992729461
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
903 SOUTH ADAMS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RITZVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-659-1200
Provider Business Mailing Address Fax Number:
509-659-1252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
903 SOUTH ADAMS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RITZVILLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-659-1200
Provider Business Practice Location Address Fax Number:
509-659-1252
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COMBS
Authorized Official First Name:
TAMRA
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING
Authorized Official Telephone Number:
509-659-1200

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  HAC.FS.00000111 , 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: 7114317 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0050906 . This is a "WA L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9159609 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0148592 . This is a "WA L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7590375 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0051688 . This is a "WA L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8119547 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8157364 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3303906 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8323438 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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