OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 NPI 1124266762

NPI Information

NPI: 1124266762
Provider Name: OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4

Doing Business As: TONASKET FAMILY MEDICAL CLINIC

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

Specialization: Rural Health

Address:
203 S WESTERN AVE
TONASKET, WA
ZIP 98855
Phone: (509) 486-2151
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OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 is a rural health clinic center in Tonasket, WA. OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 NPI is 1124266762. The provider is registered as an organization entity type.
The provider Is Doing Business As Tonasket Family Medical Clinic.

The provider's business location address is:

203 S WESTERN AVE
TONASKET, WA
ZIP 98855-803
Phone: (509) 486-2151
Fax: (509) 486-3116

The provider's authorized official is John A Mcreynolds .
The authorized official title is Coo and has the following contact phone number (509) 486-3128.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 1/2/2019.

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	261QP2300X	Clinic/Center	Primary Care	H-107	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health	H-107	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	7149701	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: 4/28/2024

NPI Synchronization or Removal

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