Grant County Health District
Organization Active NPI Public Health or Welfare Agency · Moses Lake, WA
NPI 1295915247 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1295915247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- GRANT COUNTY HEALTH DISTRICT
- Practice address
- 1038 W Ivy Ave
Moses Lake, WA 98837-2049 - Phone
- (509) 766-7960
- Fax
- (509) 766-6595
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Vicky J Rutherford
- Title
- Billing Manager
- Phone
- (509) 766-7960
Practitioners 30
-
Darray Becker-Smoger, LICSW
-
Irene Garza, MS
-
Teresa Hutsell, PMHNP
-
Kyleigh L Sanchez, MSN, ARNP, PMHNP-BC
-
Karli J Weber, LMHC, SUDP
-
Emily Ruckman, APN
-
Robert Eugene Bates, MA,LMHC: LH61119062
-
Robert Dale Bischoff, MED
-
Carissa Craghead, RN
-
Kris Davis, MA
-
Edwardo Gonzales, MED
-
Madison Ramirez, BA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0683300 | Grant County Health District | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
Locations
1038 W Ivy Ave
Moses Lake, WA 98837
Phone (509) 766-7960
203 Central Ave S
Quincy, WA 98848
Phone (509) 787-4466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | WA | Yes |
Addresses
Primary practice location
1038 W Ivy Ave
Moses Lake, WA 98837-2049
Mailing address
PO Box 37
Ephrata, WA 98823-0037
Phone (509) 754-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8011538 | Medicaid | WA | |
| 7318504 | Medicaid | WA | |
| 7404817 | Medicaid | WA |
Other providers in Moses Lake, WA
- Marisol Gonzalez
- Kelli Goodian-Delys
- Kellan Goodman
- Evan Michael Graham
- Grant County Fire District No
- Grant County Medic One, Inc
- Grant County Prevention and Recovery Center
- Grant County Public Hospital District 1
- Grant County Public Hospital District 1
- Grant County Public Hospital District 1
All providers in Moses Lake, WA · Public Health or Welfare 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 Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.