Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
Skagit Valley Hospital RHC, Camano Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ISHIZUKA (CFO)
(360) 814-5838
Entity
Organization
Contact information
Practice address
127 N. EAST CAMANO DRIVE, SUITE A, CAMANO ISLAND, WA 98282
(360) 387-5398
(360) 629-1644
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 424-4111
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102129
—
WA
Enumeration date
11/24/2006
Last updated
06/16/2018
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