NPIMap

Organization Active NPI

Skagit Valley Medical Center at Sedro Woolley

  • Clinic/Center
  • Sedro Woolley, WA
National Provider Identifier
1063588952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKAGIT VALLEY MEDICAL CENTER AT SEDRO WOOLLEY
Practice address
1990 Hospital Drive
Sedro Woolley, WA 98274
Phone
(360) 856-4222
Fax
(360) 856-1908
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teena Smith
Title
Credentials Coordinator
Phone
(360) 428-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1990 Hospital Drive
Sedro Woolley, WA 98274

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-6482

National Provider Directory

National Provider Directory
Tax ID family
Skagit Valley Medical Center Inc PS16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063588952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-6482",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DRIVE",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-856-4222",
            "fax_number": "360-856-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT VALLEY MEDICAL CENTER AT SEDRO WOOLLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TEENA",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "360-428-6482"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.