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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

NPI Number 1437224730
LBN Legal business name PUBLIC HOSPITAL DISTRICT #1
Authorized official PAUL ISHIZUKA - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 12/08/2017 - About 8 years ago
Identifiers
WA License # H-2017
WA License # H-207
WA Medicaid 6004600
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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