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Organization

GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1

Active
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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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