Public Hospital Dist No 1 Skagit

NPI #1639109283 in Mount Vernon, Washington

Provider Information

NPI Number: 1639109283
Entity Type: Organization
Organization Name: Public Hospital Dist No 1 Skagit
Primary Specialty: Surgery
Enumeration Date: Jul 3, 2006
Last Updated: Nov 19, 2010

Practice Location

Address: 1400 E KINCAID ST
City: Mount Vernon
State: Washington
ZIP Code: 98274-4127
Phone: (360) 428-2500

Authorized Official

Name: JANIS BACKSTROM, CPMSM
Title: CREDENTIALING COORDINATOR
Phone: (360) 814-6724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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