Organization
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
Active
Parent organization
SAMARITAN HOSPITAL
Other names
Samaritan Clinic on Patton
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN HOSPITAL
Authorized official
THERESA SULLIVAN (CFO SAMARITAN HOSPITAL)
(509) 765-5606
Entity
Organization
Contact information
Practice address
8420 ASPI BLVD, MOSES LAKE, WA 98837-1820
(509) 793-9781
(509) 764-3244
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028741
—
WA
Enumeration date
12/18/2012
Last updated
03/07/2026
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