Skagit County Health Department

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004346 Issued in WA

Legal business name

SKAGIT COUNTY HEALTH DEPARTMENT

Practice address

700 S 2ND St Ste 301
Mount Vernon, WA 98273-3879

Phone

(360) 419-3311

Fax

(360) 336-9401

NPI assigned

May 3, 2007

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alba M Gutierrez, PA-C

Title

PA-C

Phone

(360) 419-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• United General Hospital Other name

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1689886871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 2ND ST STE 301",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733879",
            "telephone_number": "360-419-3311",
            "fax_number": "360-336-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 2ND ST STE 301",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733879",
            "telephone_number": "360-419-3311",
            "fax_number": "360-336-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ALBA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "360-419-3311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836-2048",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United General Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Skagit Behavioral Health
• Skagit Chiropractic PS (Auto Accident Chiropractic)
• Skagit Clinical Consultants Inc
• Skagit Council on Agining
• Skagit County Community Action Agency
• Skagit County Human Services
• Skagit Digital Imaging LLC (Women's Imaging Center)
• Skagit Family Health Clinic LLC Cowan Seth P MBR (Mount Vernon Birth Center)
• Skagit Foot and Ankle Clinic
• Skagit Hand Therapy LLC

• Physician Assistant in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.