Healthcare Provider Details

I. General information

NPI: 1871756593
Provider Name (Legal Business Name): FREELAND MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1689 E MAIN STREET SUITE 1
FREELAND WA
98249-1689
US

IV. Provider business mailing address

PO BOX 1086
FREELAND WA
98249-1086
US

V. Phone/Fax

Practice location:
  • Phone: 360-331-4424
  • Fax: 360-331-1679
Mailing address:
  • Phone: 360-331-4424
  • Fax: 360-331-1679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberOP00001110
License Number StateWA

VIII. Authorized Official

Name: MRS. HOLLY ANN ARTERBURY
Title or Position: NURSE
Credential: LPN
Phone: 360-331-4424