Healthcare Provider Details

I. General information

NPI: 1003915034
Provider Name (Legal Business Name): PUBLIC HOSPITAL DISTRICT NO. 3, GRANT COUNTY, WA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SOUTHEAST BLVD
EPHRATA WA
98823-1963
US

IV. Provider business mailing address

230 SOUTHEAST BLVD
EPHRATA WA
98823-1963
US

V. Phone/Fax

Practice location:
  • Phone: 509-754-4631
  • Fax: 509-754-4809
Mailing address:
  • Phone: 509-754-4631
  • Fax: 509-754-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberBH 1199
License Number StateWA

VIII. Authorized Official

Name: DR. DONALD W JAMES
Title or Position: ADMINISTRATOR
Credential:
Phone: 509-754-4631