Ferry County Public Hospital District
Organization Active NPI Community/Retail Pharmacy · Republic, WA
NPI 1932278827 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1932278827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FERRY COUNTY PUBLIC HOSPITAL DISTRICT
- Practice address
- 6 N Clark Ave
Republic, WA 99166-5024 - Phone
- (509) 775-3351
- Fax
- (509) 775-3978
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Lady
- Title
- Ceo
- Phone
- (509) 775-3333
Member of 1
Practitioners 7
-
Diana Forrest, RPH
-
Lana Lundgren, RN
-
Rozann Helene Stevens, CPHT
-
Patricia Heeney Slagle, R.PH.
-
Robert Mark Slagle, R.PH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251002002092 | WA | Part B Supplier - Pharmacy | 8921504531 | Practice locations: Republic, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
6 N Clark Ave
Republic, WA 99166-5024
Mailing address
36 Klondike Rd
Republic, WA 99166-9701
Phone (509) 775-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107010 | Other | PK | |
| 6092902 | Medicaid | WA |
Other names
- Ferry County Public Hospital District Republic Drug Store
Other providers in Republic, WA
- Dan Leland Daily
- Ferry County Counseling Services
- Ferry County Counseling Services
- Ferry County Emergency Medical Services District 1
- Ferry County Hospital District #1
- Ferry County Public Hospital District No 1
- Ferry County Public Hospital District No 1
- Ferry County Public Hospital District No 1
- Ferry County Sheriff
- Mailyn S Fleck
All providers in Republic, WA · Community/Retail Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.