| Organization Name: | SELAH MEDICAL CENTER INC. |
| NPI Number: | 1902983174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM T COX (PRESIDENT) |
| Mailing Address: | 9 E 1st Ave Suite 4 Selah |
| State: | WA US |
| Postal Code: | 989421400 |
| Phone Number: | 5096978008 |
| Fax Number: | 5096979872 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | OP00001024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |