| Organization Name: | PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY |
| NPI Number: | 1306897681 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE A. PETERSEN (CEO) |
| Mailing Address: | 723 Memorial Street Prosser |
| State: | WA US |
| Postal Code: | 993501524 |
| Phone Number: | 5097862222 |
| Fax Number: | 5097866612 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 11/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC0050X |
| License Number: | 000056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Critical Access Hospital |
| Taxonomy Definition: | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |