Eastern State Hospital

LBN: Department Of Social Dept Of Shs Div Of Instns
Eastern State Hospital is an health care organization with primary practice located at 850 Maple St , Medical Lake WA 99022-0800. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Department Of Social Dept Of Shs Div Of Instns can be contacted via phone (509) 565-4000, or through Graham, Jessica Helene via phone (509) 565-4131.

Contact Information

Primary practice address
850 Maple St Medical Lake WA 99022-0800
Fax: (509) 565-4705
Website:
Authorized official contact:
Name: Graham, Jessica Helene

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1467440602
LBN Legal business name Department Of Social Dept Of Shs Div Of Instns
DBA Doing business as Eastern State Hospital
Authorized official Graham, Jessica Helene
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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