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NPI Code Detail

MEDICARE: WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

MEDICARE: WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician
22085N0904XNuclear Radiology Physician
32085R0204XVascular & Interventional Radiology Physician
42085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1013538230
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 3603
Second Line :
City : SEATTLE
State : WA
Zip : 98124-3603
Country : US
Telephone Number : 360-678-7656
Fax Number : 360-678-0945
Provider Business Practice Location Address
First Line : 1320 E DIVISION ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-4133
Country : US
Telephone Number : 360-678-5151
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : GARTH A MILLER
Credential : MD
Telephone Number : 360-678-7656
Provider Enumeration Date : 04/28/2020
Last Update Date : 10/27/2022

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Directions to “WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT ” Practice Location

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