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Organization

PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY

Active
Other names
Valley General Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK D JUDY (CEO)
(360) 794-1447
Entity
Organization

Contact information

Practice address
615 W STEVENS AVE HWY 2, SKY VALLEY FAMILY MEDICINE, SULTAN, WA 98294-9458
(360) 794-7497
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
H104
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001255800
MEDICARE PART B
WA
01
50-0084
MEDICARE PART A
WA
05
7034564
WA
Enumeration date
05/22/2008
Last updated
05/22/2008
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