Organization
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
Active
Parent organization
SAMARITAN HOSPITAL
Other names
Samaritan Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN HOSPITAL
Authorized official
MRS. THERESA SULLIVAN (CEO)
(509) 765-5606
Entity
Organization
Contact information
Practice address
1550 S PIONEER WAY STE 115, MOSES LAKE, WA 98837-4618
(509) 793-9713
(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
—
1014658
—
WA
05
—
7063415
—
WA
05
—
7109929
—
WA
Enumeration date
08/30/2006
Last updated
03/07/2026
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