Organization Name: | SKAGIT VALLEY MEDICAL CENTER, INC, PS |
NPI Number: | 1811104821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D BOND (PRESIDENT) |
Mailing Address: | 1400 E Kincaid St Mount Vernon |
State: | WA US |
Postal Code: | 982744127 |
Phone Number: | 3604282500 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |