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Organization
SUNNYSIDE COMMUNITY HOSPITAL
Active
Organization
SUNNYSIDE COMMUNITY HOSPITAL
Active
Other names
SUNNYSIDE ENT, SUNNYSIDE BONE AND JOINT
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW MATHIESEN (CFO)
(509) 837-1617
Entity
Organization
Contact information
Practice address
2925 ALLEN RD, SUNNYSIDE, WA 98944-8931
(509) 837-1617
(509) 837-1714
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
(509) 837-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60307626
WA
207Y00000X
Otolaryngology Physician
Primary
MD60030905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7144421
—
WA
05
—
8527194
—
WA
Enumeration date
10/21/2008
Last updated
10/10/2024
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