Provider Demographics
NPI:1043241540
Name:PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
Entity type:Organization
Organization Name:PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CESENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-445-8512
Mailing Address - Street 1:PO BOX 103510
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91189-3570
Mailing Address - Country:US
Mailing Address - Phone:360-814-7575
Mailing Address - Fax:360-445-8592
Practice Address - Street 1:875 WESLEY ST
Practice Address - Street 2:STE 130
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1613
Practice Address - Country:US
Practice Address - Phone:360-435-6525
Practice Address - Fax:360-435-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHAC.FS.00001062080A0000X
WAHAC.FS.00000106208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2058822Medicaid
WAAB11210Medicare PIN
WAAB11210Medicare PIN