# PUBLIC HOSPITAL DISTRIST NO. 1 OF SNOHOMISH COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
- **Other names:** Valley General Hospital Wound Care Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063657377
- **Legal business name:** PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
- **Authorized official:** MRS. DEBRA S BARKER (CREDENTIALING)
- **Authorized official phone:** (360) 794-1447

## Contact information

- **Practice address:** 14701 179TH AVE SE, MONROE, WA 98272-1108
- **Practice address phone:** (360) 794-1447
- **Practice address fax:** (360) 794-1427
- **Mailing address:** 14701 179TH AVE SE, MONROE, WA 98272-1108
- **Mailing address phone:** (360) 794-1447
- **Mailing address fax:** (360) 794-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G001255800 | MEDICARE PTAN\# | WA |