PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2 NPI 1508939513

NPI Information

NPI: 1508939513
Provider Name: PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 50D0671737

Address:
800 ALDER ST
SOUTH BEND, WA
ZIP 98586
Phone: (360) 875-5526
Get Directions

PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2 is a critical access general acute care hospital in South Bend, WA. PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2 NPI is 1508939513. The provider is registered as an organization entity type.

The provider's business location address is:

800 ALDER ST
SOUTH BEND, WA
ZIP 98586
Phone: (360) 875-5526
Fax: (360) 875-6167

The provider's authorized official is Terry Stone .
The authorized official title is Cfo and has the following contact phone number (360) 875-4508.

The CLIA number assigned to this NPI record is 50D0671737 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/16/2006 and was last updated on 1/17/2008.

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	282NC0060X	General Acute Care Hospital	Critical Access		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	50Z303	MEDICARE OSCAR/CERTIFICATION	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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