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General NPI Number Information
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NPI Number | 1811979610
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Entity Type | Organization
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Legal Business Name | GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 200 NAT WASHINGTON WAY
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City | EPHRATA
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State | WA
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Zip | 98823-1997
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Country | US
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Telephone | 509-754-4631
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Fax | 509-754-6356
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Provider Business Mailing Address
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Address Line | 200 NAT WASHINGTON WAY
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City | EPHRATA
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State | WA
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Zip | 98823-1997
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Country | US
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Telephone | 509-754-4631
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Fax | 509-754-6356
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | CHERYL A BODI
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Credential |
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Telephone | 509-717-5206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H045
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License Number State | WA
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