Healthcare Provider Details
I. General information
NPI: 1356591077
Provider Name (Legal Business Name): PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2008
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1213 24TH ST
ANACORTES WA
98221-2592
US
IV. Provider business mailing address
1211 24TH ST
ANACORTES WA
98221-2557
US
V. Phone/Fax
- Phone: 360-293-3101
- Fax: 360-588-1041
- Phone: 360-299-1300
- Fax: 360-299-1339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELISE
J
CUTTER
Title or Position: CFO
Credential:
Phone: 360-299-1301