Organization Name: | PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY |
NPI Number: | 1023237674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES TAVARY (CEO) |
Mailing Address: | 723 Memorial St Prosser |
State: | WA US |
Postal Code: | 993501524 |
Phone Number: | 5097862222 |
Fax Number: | 5097866612 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 000056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |