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Organization
TRI-STATE MEMORIAL HOSPITAL
Active
Organization
TRI-STATE MEMORIAL HOSPITAL
Active
Parent organization
TRI STATE MEMORIAL HOSPITAL
Other names
Tri State Medical Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI STATE MEMORIAL HOSPITAL
Authorized official
ALEX TOWN (CFO)
(509) 758-4667
Entity
Organization
Contact information
Practice address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
(509) 751-9406
Mailing address
PO BOX 189, CLARKSTON, WA 99403-0189
(509) 758-5511
(509) 751-9406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
01/28/2011
Last updated
03/31/2011
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