NPIMap

Organization Active NPI

Public Hospital District No 1 of Snohomish County

Doing business as Valley General Hospital

  • Clinical Medical Laboratory
  • Sultan, WA
National Provider Identifier
1245497577
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
H104 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY
Doing business as
Valley General Hospital
Practice address
615 W Stevens Ave Hwy 2
Sky Valley Family Medicine
Sultan, WA 98294-9458
Phone
(360) 794-7497
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Mark D Judy
Title
Ceo
Phone
(360) 794-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X H104 WA Primary

Addresses

Primary practice location

615 W Stevens Ave Hwy 2
Sky Valley Family Medicine
Sultan, WA 98294-9458

Mailing address

14701 179TH Ave SE
Monroe, WA 98272-1108
Phone (360) 794-7497

Other identifiers 3

IdentifierTypeStateIssuer
50-0084OtherWAMEDICARE PART A
001255800OtherWAMEDICARE PART B
7034564MedicaidWA

Other names 1

  • Valley General Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley General Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1245497577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 179TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721108",
            "telephone_number": "360-794-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W STEVENS AVE HWY 2",
            "address_2": "SKY VALLEY FAMILY MEDICINE",
            "city": "SULTAN",
            "state": "WA",
            "postal_code": "982949458",
            "telephone_number": "360-794-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-794-1447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "H104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "50-0084",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "001255800",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7034564",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sultan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.