Organization
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Organization
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Other names
Family Medicine Newport
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WILBUR (CEO)
(509) 447-2441
Entity
Organization
Contact information
Practice address
100 S SCOTT, NEWPORT, WA 99156
(509) 447-2441
(509) 447-0456
Mailing address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
264000780-001-0002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109184
—
WA
05
—
7113962
—
WA
05
—
805262500
—
ID
Enumeration date
03/07/2007
Last updated
06/25/2008
Update your record
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