MEDICARE: PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON

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	261QR1300X	Rural Health Clinic/Center	H134	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1649284266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON

Provider Business Mailing Address
First Line	:	1211 24TH ST
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-2557
Country	:	US
Telephone Number	:	360-299-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 M AVE
Second Line	:	SUITE B
City	:	ANACORTES
State	:	WA
Zip	:	98221-3897
Country	:	US
Telephone Number	:	360-299-4211
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MS. ELISE J CUTTER
Credential	:
Telephone Number	:	360-299-1301

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/25/2013

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