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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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