Healthcare Provider Details

I. General information

NPI: 1114213121
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: 06/28/2011
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DEYE LN
EASTSOUND WA
98245-8578
US

IV. Provider business mailing address

7 DEYE LN
EASTSOUND WA
98245-8578
US

V. Phone/Fax

Practice location:
  • Phone: 360-376-2561
  • Fax: 360-376-5183
Mailing address:
  • Phone: 360-376-2561
  • Fax: 360-376-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELISE J CUTTER
Title or Position: CFO
Credential:
Phone: 360-299-1301