Provider Demographics
NPI:1245305184
Name:PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
Entity type:Organization
Organization Name:PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-397-5755
Mailing Address - Street 1:1200 W FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:WA
Mailing Address - Zip Code:99111-9552
Mailing Address - Country:US
Mailing Address - Phone:509-397-3435
Mailing Address - Fax:509-397-2563
Practice Address - Street 1:1200 W FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:WA
Practice Address - Zip Code:99111-9552
Practice Address - Country:US
Practice Address - Phone:509-397-3435
Practice Address - Fax:509-397-2563
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-22
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4215307Medicaid
WAG000361100Medicare PIN
WAG319200800Medicare PIN
WA50-Z327Medicare Oscar/Certification