GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5 NPI 1699720797

NPI Information

  • NPI: 1699720797
  • Provider Name: GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 210 GOVERNMENT ROAD
    MATTAWA, WA
    ZIP 99349
  • Phone: (509) 932-4499

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NPI Details

GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5 is a federally qualified health center (fqhc) clinic center in Mattawa, WA. GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5 NPI is 1699720797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

210 GOVERNMENT ROAD
MATTAWA, WA
ZIP 99349-960
Phone: (509) 932-4499
Fax: (509) 932-5363

The provider's authorized official is Dana S Fox .
The authorized official title is Ceo/executive Director and has the following contact phone number (509) 932-4499.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/4/2025.

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 License Number License State Primary
1207Q00000XFamily MedicineNo
2363L00000XNurse PractitionerNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)WASHINGTONYes

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 Other Provider Identifier Issuer
17035611OTHERWASHINGTONDSHS FEE FOR SERVICE
267850OTHERWASHINGTONLABOR & INDUSTRIES
3501944OTHERWASHINGTONMEDICARE PTAN
47044167MEDICAIDWASHINGTON
57406572OTHERWASHINGTONDSHS MSS
67900657OTHERWASHINGTONDSHS TAKE CHARGE

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: 11/21/2025

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