Organization · Type 2 NPI
Tri-State Memorial Hospital
Medicare Defined Swing Bed Hospital Unit · Clarkston, WA
NPI number
1174697353
Active
Practice location
1221 Highland Avenue
Clarkston, WA 99403
Fax (509) 751-9406
Mailing address
PO Box 189
Clarkston, WA 99403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medicare Defined Swing Bed Hospital Unit Primary | 275N00000X | H108 (WA) |
Medicare Defined Swing Bed Hospital Unit: 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.
2 other providers at this address
About NPI 1174697353
Tri-State Memorial Hospital's National Provider Identifier is 1174697353, issued on Nov 20, 2006. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Clarkston, WA. The record was last updated on Sep 21, 2012.