Tri-State Memorial Hospital
Organization Active NPI Home Health Agency · Clarkston, WA
NPI 1124135215 · NPPES record last updated May 16, 2012
Key facts
- NPI
- 1124135215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 15457 (WA)
- Legal business name
- TRI-STATE MEMORIAL HOSPITAL
- Practice address
- 1100 Highland Avenue
Clarkston, WA 99403 - Phone
- (509) 758-2568
- Fax
- (509) 758-3413
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Alex C Town
- Title
- Cfo
- Phone
- (509) 758-4667
Practitioners 24
-
Dezirae E Berry, NP-C
-
Amanda Lott, PMHNP-BC
-
Julius Szigeti, MD
-
Shoaib Ahmad, MD
-
Mackenzie Bartz, PA-C
-
Ajit N Chary, M.D.
-
Thomas E. Czajkowski, M.D.
-
Ryan Joseph Daly, DNP
-
Robert L Ellison, CRNA
-
Jose M Ochoa IV, M.D
-
Anita R. Pairitz, MD
-
CHI Lun Pui, M.D.
-
Ashley Jillane Read, CRNA
-
Matthew G Wark, PAC
-
William Gerard Welker Jr., MS, PA-C
-
Jonathan D Woolery, MD, MPH, MS
National Provider Directory
Locations
1119 Highland Ave
Ste 4
Clarkston, WA 99403
Phone (509) 254-0080
1119 Highland Ave
Ste 2
Clarkston, WA 99403
Phone (509) 758-9404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15457 | WA | Yes |
Addresses
Primary practice location
1100 Highland Avenue
Clarkston, WA 99403
Mailing address
PO Box 187
Clarkston, WA 99403-0187
Phone (509) 758-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9044330 | Medicaid | WA |
Other providers in Clarkston, WA
- Amanda Elizabeth Todhunter
- Tons Hospitalist Services LTD
- Laureen M Trail
- Tri-Star Behavioral Health
- Tri-State Hospitalists
- Tri-State Memorial Hospital
- Tri-State Memorial Hospital
- Tri-State Memorial Hospital
- Tri-State Memorial Hospital
- Tri-State Memorial Hospital
All providers in Clarkston, WA · Home Health Agency in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.