PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1013064575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013064575 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Other Organization Name | SKAGIT REGIONAL HEALTH - DARRINGTON FAMILY MEDICINE |
| Practice Address |
1190 Riddle Street Darrington WA 98241 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604361055 |
| Practice Fax Number | 3604360146 |
| Mailing Telephone | 3608146724 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3608145838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MTSP.FS.00001468 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 354488 | 01 |
| WA | 2058875 | 05 |
| Other Name | Type Code |
|---|---|
| Skagit Regional Health | Other Name - Individual/Organization |
| Skagit Regional Health - Darrington Family Medicine | Doing Business As Name - Organization |
| Skagit Regional Health - Darrington RHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061765 | Public Hospital Dist No 1 Skagit | Clinic/Center | 875 Wesley St Ste 160, Arlington, WA 98223-1650 | 2007-03-19 |
| 1093889875 | Public Hospital Dist No 1 Skagit | Clinic/Center | 208 S. Hospital Parkway, Mount Vernon, WA 98274-4126 | 2006-11-20 |
| 1831131135 | Public Hospital Dist No 1 Skagit | Durable Medical Equipment & Medical Supplies | 1410 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-06-12 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1033164470 | Public Hospital Dist No 1 Skagit | Family Medicine | 405 W. Stanley Street, Granite Falls, WA 98252-8631 | 2006-05-24 |
| 1811460652 | Public Hospital Dist No 1 Skagit | Physical Therapy Assistant | 1901 Hoag Road, Suite B, Mount Vernon, WA 98273 | 2019-01-04 |
| 1497163448 | Public Hospital Dist No 1 Skagit | Emergency Medicine | 3823 172nd St Ne, Arlington, WA 98223-7735 | 2014-07-22 |
| 1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
| 1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
| 1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
| Street Address |
1190 RIDDLE STREET |
| City | DARRINGTON |
| State | WA |
| Zip Code | 98241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846558 | Kelli Kraft | Nurse Practitioner | 1190 Riddle Street, Darrington, WA 98241-9824 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992309 | Alana Baxter | Speech-Language Pathologist | 1065 Fir Street, Darrington, WA 98241 | 2020-11-02 |
| 1326461401 | Lyndee Elsie Retzlaff | Counselor | 5318 Chief Brown Lane, Sauk-suiattle Indian Tribe, Darrington, WA 98241 | 2014-01-27 |
| 1164782785 | Kristina Mackoelyn | Counselor | 1220 Riddle St, Darrington, WA 98241 | 2012-05-17 |
| 1528382652 | Deanna Aarna Heil-mcmillion | Massage Therapist | 852 Mountain Loop Hwy, Darrington, WA 98241 | 2010-03-18 |
| 1841520665 | Leslie Lyn Boyd | Contractor | 360 Mt Loop Hwy, Darrington, WA 98241 | 2009-12-29 |
| 1063573061 | Linda L Adams | Pharmacist | 1200 Seeman St, Darrington, WA 98241 | 2006-12-13 |
| 1477614485 | Paul Kaminski | Pharmacist | 1200 Seeman St., Darrington, WA 98241 | 2006-12-13 |
| 1669402806 | Darrington School District #330 | Local Education Agency (LEA) | 1075 Fir St, Darrington, WA 98241 | 2006-07-04 |
| 1396735437 | Gary Lee Schillhammer | Family Medicine | 1190 Riddle St, Darrington, WA 98241 | 2005-10-27 |
| 1598366007 | Sara Dawn Parsons | Psychologist | 1075 Fir Street, Darrington, WA 98241 | 2020-11-03 |
| Find all providers in zip 98241 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
| City | DARRINGTON |
| Zip Code | 98241 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DIST NO 1 SKAGIT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.