Healthcare Provider Details

I. General information

NPI: 1558398230
Provider Name (Legal Business Name): OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 JASMINE ST
OMAK WA
98841-9589
US

IV. Provider business mailing address

PO BOX 793
OMAK WA
98841-0793
US

V. Phone/Fax

Practice location:
  • Phone: 509-826-1600
  • Fax: 509-826-3633
Mailing address:
  • Phone: 509-826-1600
  • Fax: 509-826-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA WAGAR
Title or Position: COO-CO-INTERIM CEO
Credential: COO
Phone: 509-826-1760