Healthcare Provider Details

I. General information

NPI: 1811555931
Provider Name (Legal Business Name): OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S WHITCOMB AVE
TONASKET WA
98855-9287
US

IV. Provider business mailing address

203 S WESTERN AVE
TONASKET WA
98855-8803
US

V. Phone/Fax

Practice location:
  • Phone: 506-486-3191
  • Fax: 509-223-1743
Mailing address:
  • Phone: 509-486-2151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOHN ALEXANDER MCREYNOLDS
Title or Position: COO
Credential:
Phone: 509-486-3128