OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 NPI 1134280811

NPI Information

NPI: 1134280811
Provider Name: OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4

Doing Business As: OROVILLE FAMILY MEDICAL CLINIC - RHC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1617 MAIN ST
OROVILLE, WA
ZIP 98844
Phone: (509) 476-3911
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OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 is a rural health clinic center in Oroville, WA. OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO 4 NPI is 1134280811. The provider is registered as an organization entity type.
The provider Is Doing Business As Oroville Family Medical Clinic - Rhc.

The provider's business location address is:

1617 MAIN ST
OROVILLE, WA
ZIP 98844-380
Phone: (509) 476-3911
Fax: (509) 486-3116

The provider's authorized official is John A Mcreynolds .
The authorized official title is Coo and has the following contact phone number (509) 486-3128.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 1/2/2019.

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	261QR1300X	Clinic/Center	Rural Health	H-107	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	030	OTHER	WASHINGTON	BLUE CROSS
2	7114135	MEDICAID	WASHINGTON
3	78590	OTHER	WASHINGTON	L & I

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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