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ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3 NPI 1811108822


NPI Information

NPI: 1811108822
Provider Name: ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3

Doing Business As: OTHELLO COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 50D0640016

Address:
315 N 14TH AVE
OTHELLO, WA
ZIP 99344
Phone: (509) 331-2664
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ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3 is a critical access general acute care hospital in Othello, WA. ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3 NPI is 1811108822. The provider is registered as an organization entity type.
The provider Is Doing Business As Othello Community Hospital.

The provider's business location address is:

315 N 14TH AVE
OTHELLO, WA
ZIP 99344-254
Phone: (509) 331-2664
Fax: (509) 331-3857

The provider's authorized official is Velma Montemayor .
The authorized official title is Business Office Manager and has the following contact phone number (509) 331-2664.

The CLIA number assigned to this NPI record is 50D0640016 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 3/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical AccessWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13322302MEDICAIDWASHINGTON
225710OTHERL&I
3501318MEDICARE OSCAR/CERTIFICATION
450Z318MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.