TRI-STATE MEMORIAL HOSPITAL; NPI #1831100254

Contact Information

TRI-STATE MEMORIAL HOSPITAL

1100 HIGHLAND AVENUE
CLARKSTON, WA 99403

Phone: 509-758-2568
Fax: 509-758-3413
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for TRI-STATE MEMORIAL HOSPITAL

NPI Number 1831100254

LBN Legal business name TRI-STATE MEMORIAL HOSPITAL

Authorized official ALEX TOWN - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2006

Last updated 05/08/2013 - About 13 years ago

Identifiers

WA	License #	IS457
WA	Medicaid	3990470

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Nearby Agencies

ALPOWA HEALTHCARE, INC.
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BRITA M HANSON
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STEPHEN P MONTOURE, CDPT
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ALEXA MAHAN
18311 BOTHELL-EVERETT HIGHWAY
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JAMIE K MCINTYRE, LMT
410 E NORTH BEND WAY
98045, WA

JAVON J WILSON, BT
18311 BOTHELL-EVERETT HIGHWAY
98012, BOTHELL, WA, WA

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TRI-STATE MEMORIAL HOSPITAL

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for TRI-STATE MEMORIAL HOSPITAL

Reviews for TRI-STATE MEMORIAL HOSPITAL