| Organization Name: | GARFIELD COUNTY MEMORIAL HOSPITAL RADIOLOGY |
| NPI Number: | 1104032838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORIE GAINES (HIM DIRECTOR) |
| Mailing Address: | 66 N 6th St Pomeroy |
| State: | WA US |
| Postal Code: | 993479705 |
| Phone Number: | 5098431591 |
| Fax Number: | 5098431234 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |