Provider Demographics
NPI:1871685891
Name:COUNTY OF WHATCOM
Entity Type:Organization
Organization Name:COUNTY OF WHATCOM
Other - Org Name:WHATCOM COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAHUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-676-6724
Mailing Address - Street 1:509 GIRARD ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4005
Mailing Address - Country:US
Mailing Address - Phone:360-676-6724
Mailing Address - Fax:360-676-7646
Practice Address - Street 1:1500 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4551
Practice Address - Country:US
Practice Address - Phone:360-676-4593
Practice Address - Fax:360-676-6772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA371010968000251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG001400020Medicaid