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Organization

PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY

Active
Parent organization
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON CO.
Other names
PMH Transtitional Long Term Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON CO.
Authorized official
JAMES TAVARY (CEO/ADMINISTRATOR)
(509) 786-2222
Entity
Organization

Contact information

Practice address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
046
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116423
LABOR AND INDUSTRIES #
WA
05
4204608
WA
Enumeration date
06/07/2006
Last updated
09/25/2007
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