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Contact Information

PUBLIC HOSPITAL DISTRICT #1
1415 E KINCAID ST
MOUNT VERNON, WA98274-4126
 Phone: 360-424-4111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PUBLIC HOSPITAL DISTRICT 1 · (Female)

NPI Number 1437224730
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2006
Last updated 12/08/2017 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # H-2017
  • WA License # H-207
  • WA Medicaid 6004600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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