GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI 1609112739

NPI Information

  • NPI: 1609112739
  • Provider Name: GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SAMARITAN CLINIC ON PATTON
  • Address: 8420 ASPI BLVD
    MOSES LAKE, WA
    ZIP 98837
  • Phone: (509) 793-9781

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NPI Details

GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1 is a rural health clinic center in Moses Lake, WA. GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI is 1609112739. The provider is registered as an organization entity type.
The provider Is Doing Business As Samaritan Clinic On Patton.

The provider's business location address is:

8420 ASPI BLVD
MOSES LAKE, WA
ZIP 98837-820
Phone: (509) 793-9781
Fax: (509) 764-3244

The provider's authorized official is Theresa Sullivan .
The authorized official title is Cfo Samaritan Hospital and has the following contact phone number (509) 793-9700.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 12/28/2020.

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
1261QR1300XClinic/CenterRural HealthYes

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
12028741MEDICAIDWASHINGTON

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: 3/30/2025

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