# VISTA HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396023008
- **Authorized official:** IVAN BARISIC M.D (DIRECTOR)
- **Authorized official phone:** (509) 987-7475

## Contact information

- **Practice address:** 6917 W GRANDRIDGE BLVD, SUITE B2, KENNEWICK, WA 99336-7737
- **Practice address phone:** (509) 987-7475
- **Mailing address:** 6917 W GRANDRIDGE BLVD, SUITE B2, KENNEWICK, WA 99336-7737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 07/29/2011