Healthcare Provider Details

I. General information

NPI: 1114028693
Provider Name (Legal Business Name): GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 PATAHA ST
POMEROY WA
99347-8634
US

IV. Provider business mailing address

66 N 6TH ST
POMEROY WA
99347-9705
US

V. Phone/Fax

Practice location:
  • Phone: 509-843-1491
  • Fax: 509-843-1740
Mailing address:
  • Phone: 509-843-1491
  • Fax: 509-843-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number503982
License Number StateWA

VIII. Authorized Official

Name: HOLLIE WINSLOW
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 509-566-4147