# WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WhidbeyHealth Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861897076
- **Authorized official:** RONALD L TELLES (CFO)
- **Authorized official phone:** (360) 678-7656

## Contact information

- **Practice address:** 101 N. MAIN ST., COUPEVILLE, WA 98239
- **Practice address phone:** (360) 678-5151
- **Mailing address:** PO BOX 24077, SEATTLE, WA 98124-0077
- **Mailing address phone:** (800) 516-5315
- **Mailing address fax:** (517) 787-7365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 06/10/2016