Tri-State Memorial Hospital

LBN: Tri-State Memorial Hospital
Tri-State Memorial Hospital is an health care organization with primary practice located at 1221 Highland Ave , Clarkston WA 99403-2829. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Tri-State Memorial Hospital can be contacted via phone (509) 758-5511, or through Town, Alex C via phone (509) 758-4667.

Contact Information

Primary practice address
1221 Highland Ave Clarkston WA 99403-2829
Phone: (509) 758-5511
Fax: (509) 751-9406
Website:
Map and Directions
Authorized official contact:
Name: Town, Alex C
Phone: (509) 758-4667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Hospitals / Critical Access 282NC0060X H-108 Washington

Profile Details

NPI number 1598814352
LBN Legal business name Tri-State Memorial Hospital
DBA Doing business as
Authorized official Town, Alex C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 5th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598814352 NPPES
Idaho Other 8K289 BLUE CROSS OF IDAHO
Idaho MEDICAID 007032733 BLUE CROSS OF IDAHO
Idaho MEDICAID 003111000 BLUE CROSS OF IDAHO
Idaho Other 0082114 BLUE CROSS OF IDAHO
Idaho Other 000010142729 BLUE CROSS OF IDAHO

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