Provider Demographics
NPI:1750401006
Name:PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Entity type:Organization
Organization Name:PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:FEBUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-336-7362
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-0518
Mailing Address - Country:US
Mailing Address - Phone:509-336-7300
Mailing Address - Fax:509-332-0731
Practice Address - Street 1:835 SE BISHOP BLVD
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5512
Practice Address - Country:US
Practice Address - Phone:509-336-7300
Practice Address - Fax:509-332-0731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000062275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4200119Medicaid
WA4200119Medicaid
WA50U065Medicare Oscar/Certification