GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT NPI 1114028693

NPI Information

NPI: 1114028693
Provider Name: GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT

Other Name: POMEROY MEDICAL CLINIC

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

Specialization: Rural Health

Address:
446 PATAHA ST
POMEROY, WA
ZIP 99347
Phone: (509) 843-1491
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GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT is a rural health clinic center in Pomeroy, WA. GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT NPI is 1114028693. The provider is registered as an organization entity type.
The provider Other Name Is Pomeroy Medical Clinic.

The provider's business location address is:

446 PATAHA ST
POMEROY, WA
ZIP 99347-634
Phone: (509) 843-1491
Fax: (509) 843-1740

The provider's authorized official is Brenda Parnell .
The authorized official title is Ceo/superintendent and has the following contact phone number (509) 843-1591.

The CLIA number assigned to this NPI record is 50D1044707 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/25/2017.

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
1	261QR1300X	Clinic/Center	Rural Health	503982	WASHINGTON	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	Other Provider Identifier Issuer
1	503982	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	7023161	MEDICAID	WASHINGTON
3	G000341450	MEDICARE UPIN	WASHINGTON
4	7105463	OTHER	WASHINGTON	MEDICA RURAL HEALTH ENCO

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: 4/28/2024

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