Organization
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Active
Other names
ST ELIZABETH HOSPTIAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE FITZGERALD (CFO)
(253) 680-4005
Entity
Organization
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(888) 846-7304
(253) 573-7059
Mailing address
PO BOX 31001-1475, PASADENA, CA 91110-1475
(888) 846-7304
(253) 573-7069
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3310406
—
WA
Enumeration date
09/05/2008
Last updated
08/07/2013
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