Organization
PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
Active
Other names
Valley General Hospital Sky River Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JUDY (CEO)
(360) 794-1447
Entity
Organization
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
315001168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034564
—
WA
Enumeration date
11/20/2006
Last updated
07/09/2008
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