Healthcare Provider Details

I. General information

NPI: 1750401006
Provider Name (Legal Business Name): PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SE BISHOP BLVD
PULLMAN WA
99163-5512
US

IV. Provider business mailing address

PO BOX 518
PULLMAN WA
99163-0518
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7300
  • Fax: 509-332-0731
Mailing address:
  • Phone: 509-336-7300
  • Fax: 509-332-0731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number000062
License Number StateWA

VIII. Authorized Official

Name: STEVEN DOUGLAS FEBUS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 509-336-7362