Organization
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2
Active
Other names
Quincy Valley Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HAWLEY (CEO)
(509) 787-5346
Entity
Organization
Contact information
Practice address
908 10TH AVE SW, QUINCY, WA 98848-1376
(509) 787-3531
(509) 787-2016
Mailing address
908 10TH AVE SW, QUINCY, WA 98848-1376
(509) 787-3531
(509) 787-2016
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7033426
—
WA
05
—
7103930
—
WA
Enumeration date
11/20/2006
Last updated
04/10/2017
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