Organization
TRI-STATE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX C TOWN (CFO)
(509) 758-4667
Entity
Organization
Contact information
Practice address
1100 HIGHLAND AVENUE, CLARKSTON, WA 99403
(509) 758-2568
(509) 758-3413
Mailing address
PO BOX 189, CLARKSTON, WA 99403-0189
(509) 758-5511
(509) 751-9406
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
IS457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3990470
—
WA
Enumeration date
08/10/2006
Last updated
05/08/2013
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