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General NPI Number Information
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NPI Number | 1003915034
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DISTRICT NO. 3, GRANT COUNTY, WA
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 230 SOUTHEAST BLVD
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City | EPHRATA
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State | WA
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Zip | 98823-1963
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Country | US
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Telephone | 509-754-4631
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Fax | 509-754-4809
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Provider Business Mailing Address
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Address Line | 230 SOUTHEAST BLVD
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City | EPHRATA
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State | WA
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Zip | 98823-1963
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Country | US
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Telephone | 509-754-4631
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Fax | 509-754-4809
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DONALD W JAMES
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Credential |
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Telephone | 509-754-4631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | BH 1199
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License Number State | WA
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