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Organization

GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5

Active
Parent organization
1699720797
Other names
Mattawa Community Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
1699720797
Authorized official
DANA S FOX (CEO)
(509) 932-4499
Entity
Organization

Contact information

Practice address
210 GOVERNMENT ROAD, MATTAWA, WA 99349
(509) 932-4119
(509) 932-4086
Mailing address
210 GOVERNMENT RD, MATTAWA, WA 99349-5116
(509) 932-4119
(509) 932-4086

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/31/2019
Last updated
12/04/2024
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