| Organization Name: | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION |
| NPI Number: | 1073674040 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE FITZGERALD (CFO) |
| Mailing Address: | 1455 Battersby Ave Enumclaw |
| State: | WA US |
| Postal Code: | 980223634 |
| Phone Number: | 3608023265 |
| Fax Number: | 3608259046 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |