Provider Demographics
NPI:1710014196
Name:COUNTY OF SKAGIT
Entity Type:Organization
Organization Name:COUNTY OF SKAGIT
Other - Org Name:PUBLIC HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-336-9380
Mailing Address - Street 1:700 S 2ND ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3879
Mailing Address - Country:US
Mailing Address - Phone:360-336-9380
Mailing Address - Fax:360-336-9401
Practice Address - Street 1:700 S 2ND ST STE 301
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3879
Practice Address - Country:US
Practice Address - Phone:360-336-9380
Practice Address - Fax:360-336-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025096251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0066760OtherLABOR & INDUSTRIES
WA7400450Medicaid
WA001100178Medicare ID - Type UnspecifiedDEPT. MEDICARE ID
WAE53921Medicare UPIN