Organization Name: | PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WA |
NPI Number: | 1194929471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODGER MCCOLLUM (CEO) |
Mailing Address: | 9801 Frontier Ave Se Snoqualmie |
State: | WA US |
Postal Code: | 980655200 |
Phone Number: | 4258312000 |
Fax Number: | 4258312361 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | H-195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |