Grant County Public Hospital District #2

Organization Active NPI Certified Registered Nurse Anesthetist · Quincy, WA

NPI 1902019268 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1902019268
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
H129 (WA)
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT #2
Practice address
908 Tenth Avenue SW
Quincy, WA 98848
Phone
(509) 787-3531
Fax
(509) 787-2016
NPI assigned
May 7, 2007
Organization subpart
No

Authorized official

Name
Mehdi Merred
Title
Ceo
Phone
(509) 787-3531

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Quincy Valley Hospital (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
367500000X H129 WA Yes

Addresses

Primary practice location

908 Tenth Avenue SW
Quincy, WA 98848

Mailing address

908 Tenth Avenue SW
Quincy, WA 98848
Phone (509) 787-3531

Other identifiers

IdentifierTypeStateIssuer
9619479MedicaidWA

Other providers in Quincy, WA

All providers in Quincy, WA · Certified Registered Nurse Anesthetist in Washington

Sources for this page

Verify at the official NPI Registry.