Healthcare Provider Details

I. General information

NPI: 1730278755
Provider Name (Legal Business Name): CHELAN-DOUGLAS HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 VALLEY MALL PARKWAY
EAST WENATCHEE WA
98802
US

IV. Provider business mailing address

200 VALLEY MALL PARKWAY
EAST WENATCHEE WA
98802
US

V. Phone/Fax

Practice location:
  • Phone: 509-886-6400
  • Fax: 509-886-6478
Mailing address:
  • Phone: 509-886-6400
  • Fax: 509-886-6478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number60005350554
License Number StateWA

VIII. Authorized Official

Name: MR. BARRY W KLING
Title or Position: ADMINISTRATOR
Credential:
Phone: 509-886-6480