Organization
ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3
Active
Other names
OTHELLO COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VELMA MONTEMAYOR (BUSINESS OFFICE MANAGER)
(509) 331-2664
Entity
Organization
Contact information
Practice address
315 N 14TH AVE, OTHELLO, WA 99344-1254
(509) 331-2664
(509) 331-3857
Mailing address
315 N 14TH AVE, OTHELLO, WA 99344-1254
(509) 488-2636
(509) 331-2617
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25710
L&I
—
05
—
3322302
—
WA
Enumeration date
05/24/2007
Last updated
03/07/2017
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