Organization
COUNTY OF FRANKLIN
Active
Other names
Franklin County Public Hospital District #1
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ELIZABETH SCHUBERT (SECRETARY)
(509) 269-4900
Entity
Organization
Contact information
Practice address
22210 GLADE ROAD NO., MESA, WA 99343
(509) 269-4900
(509) 269-4977
Mailing address
P.O. BOX 246, MESA, WA 99343
(509) 269-4900
(509) 269-4977
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
11X01
WA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058885
DEPT. OF LABOR & INDUSTRI
WA
01
—
52580126
COMMUNITY HEALTH PLAN
WA
01
—
9505207
PREMERA BLUE CROSS
WA
05
—
9505207
—
WA
01
—
WA51516SP
MOLINA
CA
Enumeration date
05/17/2007
Last updated
07/14/2011
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