Healthcare Provider Details
I. General information
NPI: 1609055995
Provider Name (Legal Business Name): AUBURN REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 N DIVISION ST
AUBURN WA
98001-4939
US
IV. Provider business mailing address
202 N DIVISION ST
AUBURN WA
98001-4939
US
V. Phone/Fax
- Phone: 253-833-7711
- Fax:
- Phone: 253-833-7711
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0200X |
| Taxonomy | Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300