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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1518819341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	15500 BUBBLING WELLS RD SPC 88
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-7059
Country	:	US
Telephone Number	:	360-678-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	15500 BUBBLING WELLS RD SPC 88
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-7059
Country	:	US
Telephone Number	:	360-678-5151
Fax Number	:

Authorized Official
Title or Position	:	MD, COO, CMO
Name	:	GARTH A MILLER
Credential	:
Telephone Number	:	360-678-7656

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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