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Contact Information

PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
835 SE BISHOP BLVD
PULLMAN, WA99163-5512
 Phone: 509-332-2514
 Fax: 509-332-0731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Critical Access Hospital

261QC0050X
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Radiologic Technologist

247100000X
 

Urgent Care

261QU0200X
Indicates primary specialty

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

NPI Number 1366446767
LBN Legal business name PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Authorized official MATT FORGE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2005
Last updated 10/22/2025 - About 7 months ago
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 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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