Organization
OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Active
Other names
North Valley Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MCREYNOLDS (CEO)
(509) 486-3128
Entity
Organization
Contact information
Practice address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2151
(509) 486-3116
Mailing address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2151
(509) 486-3116
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
H-107
WA
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082298
L & I
WA
01
—
030
BLUE CROSS
WA
05
—
7053689
—
WA
Enumeration date
12/14/2006
Last updated
11/30/2020
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