TRI-STATE MEMORIAL HOSPITAL NPI 1831100254

NPI Information

NPI: 1831100254
Provider Name: TRI-STATE MEMORIAL HOSPITAL
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1100 HIGHLAND AVENUE
CLARKSTON, WA
ZIP 99403
Phone: (509) 758-2568
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TRI-STATE MEMORIAL HOSPITAL is a hospice care community based in Clarkston, WA. TRI-STATE MEMORIAL HOSPITAL NPI is 1831100254. The provider is registered as an organization entity type.

The provider's business location address is:

1100 HIGHLAND AVENUE
CLARKSTON, WA
ZIP 99403
Phone: (509) 758-2568
Fax: (509) 758-3413

The provider's authorized official is Alex C Town .
The authorized official title is Cfo and has the following contact phone number (509) 758-4667.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 5/8/2013.

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
1	251G00000X	Hospice Care, Community Based		IS457	WASHINGTON	Yes

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
1	3990470	MEDICAID	WASHINGTON
2	501533	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	UGS

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

NPI Synchronization or Removal

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