Healthcare Provider Details

I. General information

NPI: 1740203967
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: 07/26/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WASHBURN
LOPEZ WA
98261
US

IV. Provider business mailing address

1211 24TH ST
ANACORTES WA
98221-2557
US

V. Phone/Fax

Practice location:
  • Phone: 360-468-2245
  • Fax:
Mailing address:
  • Phone: 360-299-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberH134
License Number StateWA

VIII. Authorized Official

Name: ELISE J CUTTER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 360-299-1301