National Provider Identifier Database

PUBLIC HOSPITAL DISTRICT 1
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PUBLIC HOSPITAL DISTRICT #1
1415 E KINCAID ST
MOUNT VERNON, WA98274-4126
Phone: 360-424-4111
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Institutional Pharmacy 3336I0012X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PUBLIC HOSPITAL DISTRICT #1

NPI Number 1437224730
Legal business name
LBN
PUBLIC HOSPITAL DISTRICT #1
Authorized official PAUL ISHIZUKA - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/21/2006
Last updated 12/08/2017 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: H-2017
  • WA License #: H-207
  • WA Medicaid: 6004600

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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