Provider Demographics
NPI:1922119197
Name:PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
Entity Type:Organization
Organization Name:PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
Other - Org Name:ISLAND PRENATAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-299-1301
Mailing Address - Street 1:1211 24TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2557
Mailing Address - Country:US
Mailing Address - Phone:360-299-1300
Mailing Address - Fax:
Practice Address - Street 1:2601 M AVE
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-3894
Practice Address - Country:US
Practice Address - Phone:360-293-6973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAH-134261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7037542Medicaid
WA7402605Medicaid
WA7404098Medicaid
WA7900780Medicaid