MEDICARE: PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY

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
1	291U00000X	Clinical Medical Laboratory	H104	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001255800	OTHER	WA	MEDICARE PART B
2	50-0084	OTHER	WA	MEDICARE PART A

Other Identifiers

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

General Provider Information

NPI Number	:	1245497577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY

Provider Business Mailing Address
First Line	:	14701 179TH AVE SE
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-1108
Country	:	US
Telephone Number	:	360-794-7497
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 W STEVENS AVE HWY 2
Second Line	:	SKY VALLEY FAMILY MEDICINE
City	:	SULTAN
State	:	WA
Zip	:	98294-9458
Country	:	US
Telephone Number	:	360-794-7497
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK D JUDY
Credential	:
Telephone Number	:	360-794-1447

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	05/22/2008

Similar Medicare Providers

1386630820 — VICTORIA ANN BAKER-HALL M.D.
Practice Location Address:

615 W STEVENS AVE
SULTAN, WA
98294-9458

Practice Phone: 360-793-0201
Practice Fax: 360-793-2429

1447246665 — DR. MARK STEVEN RANEY D.O.
Practice Location Address:

615 W STEVENS AVE
SULTAN, WA
98294-9458

Practice Phone: 360-793-0201
Practice Fax: 360-793-2429

1093832057 — SKY VALLEY FAMILY MEDICINE, PS
Practice Location Address:

615 W STEVENS AVE
SULTAN, WA
98294-9458

Practice Phone: 360-793-0201
Practice Fax: 360-793-2429

1437153467 — GREGORY A HOVANDER
Practice Location Address:

505 W STEVENS AVE
SULTAN, WA
98294-9453

Practice Phone: 360-793-8813
Practice Fax: 360-799-2383

1144204801 — MRS. KELLY K RAMSEY RPT
Practice Location Address:

717 FIR AVE
SULTAN, WA
98294-9701

Practice Phone: 360-793-1988
Practice Fax:

1770547283 — MS. RUTH ANN HACKENBRACHT SLP
Practice Location Address:

13507 327TH CT SE
SULTAN, WA
98294-8722

Practice Phone: 425-890-5148
Practice Fax: 425-654-0562

Directions to “PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.