Organization · Type 2 NPI
Tri-State Memorial Hospital
Community Based Hospice Care Agency · Clarkston, WA
NPI number
1831100254
Active
Practice location
1100 Highland Avenue
Clarkston, WA 99403
Fax (509) 758-3413
Mailing address
PO Box 189
Clarkston, WA 99403-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | IS457 (WA) |
Community Based Hospice Care Agency: Definition to come...
Another provider at this address
About NPI 1831100254
Tri-State Memorial Hospital's National Provider Identifier is 1831100254, issued on Aug 10, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Clarkston, WA. The record was last updated on May 8, 2013.