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 only one registered license in Hospitals / Critical Access, which is considered as 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
Hospitals / Critical Access 282NC0060X H-108 Washington

Profile Details

NPI number 1760485221
LBN Legal business name Tri-State Memorial Hospital
DBA Doing business as
Authorized official Town, Alex C
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Mar 24th, 2011 - about 14 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 1760485221 NPPES
Washington MEDICAID 003308004
Washington MEDICAID 003110900
Washington Other 000010002128
Washington Other 00620

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