Organization
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Active
Other names
St. Elizabeth Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE FITZGERALD (CFO)
(253) 680-4005
Entity
Organization
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(360) 802-3265
(360) 825-9046
Mailing address
PO BOX 31001-1482, PASADENA, CA 91110-1482
(360) 802-3265
(360) 825-9046
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3310406
—
WA
Enumeration date
12/13/2006
Last updated
01/23/2017
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