Provider Demographics
NPI:1396853503
Name:NORTH GILLIAM COUNTY HEALTH DISTRICT
Entity Type:Organization
Organization Name:NORTH GILLIAM COUNTY HEALTH DISTRICT
Other - Org Name:ARLINGTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:N
Authorized Official - Last Name:GUILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-454-2888
Mailing Address - Street 1:110 ON THE MALL
Mailing Address - Street 2:SHANE BUILDING EAST
Mailing Address - City:ARLINGTON
Mailing Address - State:OR
Mailing Address - Zip Code:97812-0314
Mailing Address - Country:US
Mailing Address - Phone:541-454-2888
Mailing Address - Fax:541-454-2988
Practice Address - Street 1:110 ON THE MALL
Practice Address - Street 2:SHANE BUILDING EAST
Practice Address - City:ARLINGTON
Practice Address - State:OR
Practice Address - Zip Code:97812-0314
Practice Address - Country:US
Practice Address - Phone:541-454-2888
Practice Address - Fax:541-454-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty