Organization Name: | WASHINGTON STATE DEPARTMENT OF HEALTH |
NPI Number: | 1093120743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER TEBALDI (ASSISTANT SECRETARY) |
Mailing Address: | 310 Israel Rd Se Tumwater |
State: | WA US |
Postal Code: | 985015567 |
Phone Number: | 3602363479 |
Fax Number: | 3606642216 |
NPI Enumeration Date: | 06/20/2014 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |