Samaritan Clinic
LBN: Grant County Public Hospital District 1
Samaritan Clinic is an health care organization with primary practice located at 1550 S Pioneer Way Ste 115 , Moses Lake WA 98837-4618. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Grant County Public Hospital District 1 can be contacted via phone (509) 793-9713, or through Sullivan, Theresa via phone (509) 793-9710.
Contact Information
Primary practice address
1550 S Pioneer Way Ste 115
Moses Lake WA 98837-4618
Phone: (509) 793-9713
Fax: (509) 764-3244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1619086766 |
|---|---|
| LBN Legal business name | Grant County Public Hospital District 1 |
| DBA Doing business as | Samaritan Clinic |
| Authorized official | Sullivan, Theresa |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 28th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619086766 | NPPES |
| Washington | MEDICAID | 1014658 | |
| Washington | MEDICAID | 7063415 | |
| Washington | MEDICAID | 7109929 |
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