NPI Code Details Logo

NPI 1407920218

NPI 1407920218 : GRANT COUNTY HOSPITAL DISTRICT NO. 2 : QUINCY, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407920218
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GRANT COUNTY HOSPITAL DISTRICT NO. 2 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/20/2006
-----------------------------------------------------
    Last Update Date     |    04/20/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    908 10TH AVE SW 
-----------------------------------------------------
    City                 |    QUINCY
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98848-1376
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-787-3531
-----------------------------------------------------
    Fax                  |    509-787-2016
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    908 10TH AVE SW 
-----------------------------------------------------
    City                 |    QUINCY
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98848-1376
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-787-3531
-----------------------------------------------------
    Fax                  |    509-787-2016
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     GLENDA L BISHOP 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    509-787-5368
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.