Provider Demographics
NPI:1952546590
Name:OKANOGAN COUNTY PUBLIC HEALTH
Entity Type:Organization
Organization Name:OKANOGAN COUNTY PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR COODINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-422-7140
Mailing Address - Street 1:1234 2ND AVE S
Mailing Address - Street 2:PO BOX 231
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840-9723
Mailing Address - Country:US
Mailing Address - Phone:509-422-7140
Mailing Address - Fax:509-422-7142
Practice Address - Street 1:1234 2ND AVE S
Practice Address - Street 2:
Practice Address - City:OKANOGAN
Practice Address - State:WA
Practice Address - Zip Code:98840-8840
Practice Address - Country:US
Practice Address - Phone:509-422-7140
Practice Address - Fax:509-422-7142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8150559Medicaid
WA319209704OtherMEDICARE
WA8150559Medicaid