Organization
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Active
Other names
Columbia Basin Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALINDA KIBBY CEO (ADMINISTRATOR)
(509) 754-4631
Entity
Organization
Contact information
Practice address
220 NAT WASHINGTON WAY, EPHRATA, WA 98823-1982
(509) 754-3330
(509) 754-2351
Mailing address
220 NAT WASHINGTON WAY, EPHRATA, WA 98823-1982
(509) 754-3330
(509) 754-6356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7043102
—
WA
Enumeration date
12/19/2006
Last updated
09/28/2023
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