PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NPI 1124159900

NPI Information

NPI: 1124159900
Provider Name: PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1

Doing Business As: FAMILY MEDICINE NEWPORT

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

Specialization: Rural Health

Address:
100 S SCOTT
NEWPORT, WA
ZIP 99156
Phone: (509) 447-2441
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PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 is a rural health clinic center in Newport, WA. PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NPI is 1124159900. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Newport.

The provider's business location address is:

100 S SCOTT
NEWPORT, WA
ZIP 99156
Phone: (509) 447-2441
Fax: (509) 447-0456

The provider's authorized official is Tom Wilbur .
The authorized official title is Ceo and has the following contact phone number (509) 447-2441.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 6/25/2008.

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	264000780-001-0002	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
1	508518	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
2	7109184	MEDICAID	WASHINGTON
3	7113962	MEDICAID	WASHINGTON
4	805262500	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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