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Organization

SUNNYSIDE COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MATHEW MATHIESEN (CFO)
(509) 837-1349
Entity
Organization

Contact information

Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1500

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225033814
NATIONAL PROVIDER IDENTIFIER
WA
Enumeration date
09/21/2015
Last updated
10/10/2024
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