Provider Demographics
NPI:1003915034
Name:PUBLIC HOSPITAL DISTRICT NO. 3, GRANT COUNTY, WA
Entity Type:Organization
Organization Name:PUBLIC HOSPITAL DISTRICT NO. 3, GRANT COUNTY, WA
Other - Org Name:GARDEN OASIS ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-754-4631
Mailing Address - Street 1:230 SOUTHEAST BLVD
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1963
Mailing Address - Country:US
Mailing Address - Phone:509-754-4631
Mailing Address - Fax:509-754-4809
Practice Address - Street 1:230 SOUTHEAST BLVD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1963
Practice Address - Country:US
Practice Address - Phone:509-754-4631
Practice Address - Fax:509-754-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABH 1199310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA423654OtherDSHS