Department of Social Dept of SHS Div of Instns
Doing business as Eastern State Hospital
Hospital in Medical Lake, WA, Medicare certification number 504004.
Medicare certification
Provider of Services- CCN
- 504004
- Status
- Active
- Provider type
- Hospital – Psychiatric
- Listed by Care Compare as
- Psychiatric
- Ownership
- Government - State
- Control type
- State
- Participating since
- Jul 1, 1966
- Last certification
- Jun 15, 2016
- Beds
- 287
- Address
- 850 Maple Street - P O Box a
Medical Lake, WA 99022
(509) 565-4000
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Eastern State Hospital
- Psychiatric Hospital
- Medical Lake, WA
- NPI 1467440602
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.