Organization
GRANT COUNTY HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY J RUTHERFORD (BILLING MANAGER)
(509) 766-7960
Entity
Organization
Contact information
Practice address
1038 W IVY AVE, MOSES LAKE, WA 98837-2049
(509) 766-7960
(509) 766-6595
Mailing address
PO BOX 37, EPHRATA, WA 98823-0037
(509) 754-6060
(509) 766-6595
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7318504
—
WA
05
—
7404817
—
WA
05
—
8011538
—
WA
Enumeration date
11/07/2007
Last updated
11/15/2007
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