National Provider Identifier Database

PUBLIC HOSPITAL DISTRICT 1 A OF WHITMAN COUNTY
Critical Access

Contact Information

PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
835 SE BISHOP BLVD
PULLMAN, WA  99163-5512
Phone: 509-332-2514
Fax: 509-332-0731
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Clinical Medical Laboratory 291U00000X
Critical Access Hospital 261QC0050X
Emergency Medical Services 207PE0004X
Radiologic Technologist 247100000X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY

NPI Number 1366446767
Legal business name
LBN		 PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Authorized official MATT FORGE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/13/2005
Last updated 10/22/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: H-172
  • ID Medicaid: 003221800
  • ID Medicaid: 003221990
  • WA Medicaid: 3303708
  • WA Medicaid: 7030661
  • WA Other: 82105 LABOR & IND. (PHYS GROUP)
  • WA Other: 2590 LABOR & INDUSTRIES (FAC)
  • WA Other: 077 PREMERA BLUE CROSS

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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