DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS is a psychiatric hospital in Medical Lake, WA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS NPI is 1467440602. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern State Hospital.
The provider's business location address is:
850 MAPLE ST
MEDICAL LAKE, WA
ZIP 99022-800
Phone: (509) 565-4000
Fax: (509) 565-4705
The provider's authorized official is Jessica Helene Graham .
The authorized official title is Director, Revenue Cycle and has the following contact phone number (509) 565-4131.
The CLIA number assigned to this NPI record is 50D0883433 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/12/2005 and was last updated on 3/10/2022.