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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