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NPI Code Detail

MEDICARE: GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT

MEDICARE: GARFIELD COUNTY MEMORIAL 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
1314000000XSkilled Nursing Facility505356WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023119500
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 66 N 6TH ST
Second Line :
City : POMEROY
State : WA
Zip : 99347-9705
Country : US
Telephone Number : 509-843-1591
Fax Number : 509-843-1234
Provider Business Practice Location Address
First Line : 66 N 6TH ST
Second Line :
City : POMEROY
State : WA
Zip : 99347-9705
Country : US
Telephone Number : 509-843-1591
Fax Number : 509-843-1234
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : HOLLIE WINSLOW
Credential :
Telephone Number : 509-566-4147
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/01/2025

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1982792685 — GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1
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Directions to “GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT ” Practice Location

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