Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Astria Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LAWSON (BUSINESS OFFICE MANAGER)
(509) 837-1617
Entity
Organization
Contact information
Practice address
208 N EUCLID RD, GRANDVIEW, WA 98930-9470
(509) 882-1855
(509) 882-4998
Mailing address
PO BOX 510, SUNNYSIDE, WA 98944-0510
(509) 882-1855
(509) 882-4998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261Q00000X
Clinic/Center
601650238
WA
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-8540
MEDICARE PART A
—
05
—
7071632
—
WA
05
—
7130727
—
WA
Enumeration date
06/30/2005
Last updated
11/13/2017
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