Provider Demographics
| NPI: | 1881475051 |
|---|---|
| Name: | PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY |
| Entity type: | Organization |
| Organization Name: | PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CREDENTIALING SPECIALIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KATE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | QUARTON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 509-336-7609 |
| Mailing Address - Street 1: | 840 SE BISHOP BLVD STE 103 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PULLMAN |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 99163-5502 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 509-336-7609 |
| Mailing Address - Fax: | 509-524-8410 |
| Practice Address - Street 1: | 835 SE BISHOP BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | PULLMAN |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 99163-5512 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 509-336-7300 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2023-10-12 |
| Last Update Date: | 2023-10-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
| No | 171100000X | Other Service Providers | Acupuncturist | Group - Multi-Specialty | |
| No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
| No | 207RS0010X | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine | Group - Multi-Specialty |
| No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | Group - Multi-Specialty |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |