Public Hospital District # 1-a
Organization Active NPI Clinical Medical Laboratory · Pullman, WA
NPI 1962667170 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1962667170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- PUBLIC HOSPITAL DISTRICT # 1-A
- Practice address
- 835 SE Bishop Blvd
Pullman, WA 99163-5512 - Phone
- (509) 332-2541
- Fax
- (509) 332-0731
- NPI assigned
- Jul 28, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- PUBLIC HOSPITAL DISTRICT # 1-A
Authorized official
- Name
- Mr. Scott K Adams
- Title
- Ceo
- Phone
- (509) 336-7406
Corporate family (same tax ID) 11
Practitioners 58
-
Lisa Arrett, ARNP
-
Deborah Blazzard, PMHNP
-
Kaz B Brodsky, MD
-
Morgan Elizabeth Burke, FNP-C
-
Bradly John Capawana, DPM
-
Jennifer L Davis, PA-C
-
Loralee Farrer, MS, CCC-SLP
-
Melissa Fontenot Francik, R.D.
-
Clara E Garcia, MD
-
Stephen P Hall, M.D.
-
Brenna R Harris, D.O.
-
Richard L Howell, ARNP
-
Marek Janout, MD
-
John Jay Keizur, M.D.
-
Dana Kujala, RDN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0638906 | Pullman Regional Hospital | Accreditation | Apr 4, 2028 |
| 50D2228811 | Pullman Regional Hospital ER Department | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
- Tax ID family
- Pullman Memorial Hospit
- Part of
- Pullman Memorial Hospit
Locations
405 NE Stadium Way
Ste 5
Pullman, WA 99163
840 SE Bishop Blvd
Ste 120
Pullman, WA 99163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WA | Yes |
Addresses
Primary practice location
835 SE Bishop Blvd
Pullman, WA 99163-5512
Mailing address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7520PU | Other | WA | ASURIS |
Other names
- Pullman Regional Hospital
Other providers in Pullman, WA
- David Charles Port
- Darin Layne Porter
- Lura Kelly Potter
- Professional Mall Pharmacy Inc
- Proformance Physical Therapy, LLC
- Public Hospital District #1-a
- Public Hospital District #1-a of Whitman County
- Public Hospital District #1-a of Whitman County
- Public Hospital District #1-a of Whitman County
- Public Hospital District #1-a of Whitman County
All providers in Pullman, WA · Clinical Medical Laboratory in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. 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.