OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 NPI 1558398230

NPI Information

NPI: 1558398230
Provider Name: OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3

Doing Business As: MID-VALLEY MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
529 JASMINE ST
OMAK, WA
ZIP 98841
Phone: (509) 826-1600
Get Directions

OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 is a rural health clinic center in Omak, WA. OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 NPI is 1558398230. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid-valley Medical Group.

The provider's business location address is:

529 JASMINE ST
OMAK, WA
ZIP 98841-589
Phone: (509) 826-1600
Fax: (509) 826-3633

The provider's authorized official is Alan J Fisher .
The authorized official title is Ceo and has the following contact phone number (509) 826-1760.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 11/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	208600000X	Surgery		No
4	261QR1300X	Clinic/Center	Rural Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0176652	MEDICAID	WASHINGTON
2	7119647	MEDICAID	WASHINGTON
3	1013242	MEDICAID	WASHINGTON
4	7121411	MEDICAID	WASHINGTON
5	7590805	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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