Provider Demographics
NPI: | 1881475051 |
---|---|
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: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CREDENTIALING SPECIALIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KATE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | QUARTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 509-336-7609 |
Mailing Address - Street 1: | 840 SE BISHOP BLVD STE 103 |
Mailing Address - Street 2: | |
Mailing Address - City: | PULLMAN |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 99163-5502 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 509-336-7609 |
Mailing Address - Fax: | 509-524-8410 |
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: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2023-10-12 |
Last Update Date: | 2023-10-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
No | 171100000X | Other Service Providers | Acupuncturist | Group - Multi-Specialty | |
No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
No | 207RS0010X | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine | Group - Multi-Specialty |
No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |