NPI 1174697353

Tri-State Memorial Hospital

Organisation Medicare Defined Swing Bed Hospital Unit Clarkston, WA

Practice location

Address: 1221 Highland Avenue, Clarkston, WA 99403
Phone: (509) 758-5511
Fax: (509) 751-9406
Mailing address: PO Box 189, Clarkston, WA 99403

Authorised official

Name: Alex C Town
Title: Cfo
Phone: (509) 758-4667

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence H108 (WA)

Other Medicare Defined Swing Bed Unit providers in Washington →

Registry record

NPI: 1174697353
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 21 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.