Healthcare Provider Details

I. General information

NPI: 1700973088
Provider Name (Legal Business Name): GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

IV. Provider business mailing address

200 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

V. Phone/Fax

Practice location:
  • Phone: 509-754-4631
  • Fax: 509-754-6356
Mailing address:
  • Phone: 509-754-4631
  • Fax: 509-754-6356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number000009
License Number StateWA

VIII. Authorized Official

Name: DR. ROSALINDA KIBBY
Title or Position: ADMINISTRATOR
Credential:
Phone: 509-717-5207