Provider Demographics
NPI:1255429957
Name:GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Entity type:Organization
Organization Name:GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-566-4120
Mailing Address - Street 1:66 NORTH 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:POMEROY
Mailing Address - State:WA
Mailing Address - Zip Code:99347-9705
Mailing Address - Country:US
Mailing Address - Phone:509-566-4141
Mailing Address - Fax:509-843-1234
Practice Address - Street 1:66 NORTH 6TH STREET
Practice Address - Street 2:
Practice Address - City:POMEROY
Practice Address - State:WA
Practice Address - Zip Code:99347-9705
Practice Address - Country:US
Practice Address - Phone:509-566-4141
Practice Address - Fax:509-843-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3305406Medicaid
WA501301OtherMEDICARE UNSPECIFIED
WAG000341450OtherMEDICARE PART B
WA501301Medicare UPIN
WA501301Medicare Oscar/Certification
WA503982Medicare PIN