Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
Skagit Valley Psychiatic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C LITAKER (CFO)
(360) 814-8346
Entity
Organization
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 424-2511
(360) 424-2522
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 424-2511
(360) 424-2522
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
HAC.FS.00000207
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250523
DEPARTMENT OF LABOR AND INDUSTRIES
WA
05
—
2002556
—
WA
Enumeration date
06/18/2009
Last updated
03/30/2016
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