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NPI Code Detail

MEDICARE: PUBLIC HOSPITAL DIST NO 1 SKAGIT

MEDICARE: PUBLIC HOSPITAL DIST NO 1 SKAGIT
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
1282N00000XGeneral Acute Care Hospital311 001 925WA
2282N00000XGeneral Acute Care HospitalFS60655126WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2355068OTHERWALABOR & INDUSTRIES

General Provider Information

NPI Number : 1073566246
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HOSPITAL DIST NO 1 SKAGIT
Provider Business Mailing Address
First Line : PO BOX 103510
Second Line :
City : PASADENA
State : CA
Zip : 91189-3570
Country : US
Telephone Number : 360-814-7575
Fax Number : 360-445-8592
Provider Business Practice Location Address
First Line : 330 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1642
Country : US
Telephone Number : 360-435-2133
Fax Number : 360-435-0513
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR- BUSINESS S
Name : MS. JOLA M BARNETT
Credential :
Telephone Number : 360-618-7812
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/30/2025

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Directions to “PUBLIC HOSPITAL DIST NO 1 SKAGIT ” Practice Location

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