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OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4

Hospital Units Medicare Defined Swing Bed Unit

Provider NPI: 1134281314

Organization Information:
Organization Name:  OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Organization is not Subpart
Authorized Official:  JOHN A MCREYNOLDS  COO  509-486-3128

Practice Location:
203 S WESTERN AVE  TONASKET, WA 98855-8803 US
Tel: 509-486-2151  Fax: 509-486-3116

Business Mailing Address:
203 S WESTERN AVE  TONASKET, WA 98855-8803 US
Tel: 509-486-2151  Fax: 509-486-3116

NPI Information:
NPI: 1134281314
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y275N00000XHospital Units
Medicare Defined Swing Bed Unit
WAH-107

Other Provider Identifiers:

IssuerNumberStateType
3318201WA05
BLUE CROSS03001
L & I13751WA01
WASHINGTON STATE DOH LICENSEH-107WA01



American Medical Association 2012 taxonomy code information

Code: 275N00000X

Type:

Classification:



Definition:



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