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General NPI Number Information
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NPI Number | 1114028693
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Entity Type | Organization
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Legal Business Name | GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 446 PATAHA ST
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City | POMEROY
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State | WA
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Zip | 99347-8634
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Country | US
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Telephone | 509-843-1491
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Fax | 509-843-1740
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Provider Business Mailing Address
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Address Line | 66 N 6TH ST
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City | POMEROY
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State | WA
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Zip | 99347-9705
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Country | US
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Telephone | 509-843-1491
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Fax | 509-843-1740
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | HOLLIE WINSLOW
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Credential |
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Telephone | 509-566-4147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 503982
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License Number State | WA
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