Deer Park Hospital Crna

LBN: Providence Healthcare
Deer Park Hospital Crna is an health care organization with primary practice located at 1015 E D St , Deer Park WA 99006-5067. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Providence Healthcare can be contacted via phone (509) 232-1173, or through Wicklund, Debbie L via phone (509) 232-1177.

Contact Information

Primary practice address
1015 E D St Deer Park WA 99006-5067
Phone: (509) 232-1173
Fax: (509) 232-1165
Website:
Map and Directions
Authorized official contact:
Name: Wicklund, Debbie L
Phone: (509) 232-1177

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X H 178 Washington

Profile Details

NPI number 1417148461
LBN Legal business name Providence Healthcare
DBA Doing business as Deer Park Hospital Crna
Authorized official Wicklund, Debbie L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Oct 30th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417148461 NPPES
Washington Other 000015 FACILITY ID
Washington Other H 178 FACILITY ID
Washington MEDICAID 9043233 FACILITY ID

Popular Providers