NPIMap

Organization Active NPI

Pacific County Public Hospital District # 2

  • Critical Access Hospital
  • South Bend, WA
National Provider Identifier
1508939513
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2
Practice address
800 Alder St
South Bend, WA 98586
Phone
(360) 875-5526
Fax
(360) 875-6167
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Terry Stone
Title
Cfo
Phone
(360) 875-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X WA Primary

Addresses

Primary practice location

800 Alder St
South Bend, WA 98586

Mailing address

800 Alder St
PO Box 438
South Bend, WA 98586-0438

National Provider Directory

National Provider Directory
Tax ID family
Vern McCready PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1508939513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ALDER ST",
            "address_2": "PO BOX 438",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ALDER ST",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "360-875-5526",
            "fax_number": "360-875-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COUNTY PUBLIC HOSPITAL DISTRICT # 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-875-4508"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.