Organization
OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Active
Organization
OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Active
Other names
North Valley Hospital-Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHN A MCREYNOLDS (COO)
(509) 486-3128
Entity
Organization
Contact information
Practice address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2151
(509) 486-3116
Mailing address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2151
(509) 486-3116
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H-107
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030
BLUE CROSS
—
01
—
13751
L & I
WA
05
—
3318201
—
WA
01
—
H-107
WASHINGTON STATE DOH LICENSE
WA
Enumeration date
12/14/2006
Last updated
01/02/2019
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