PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1033164470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164470 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Other Organization Name | SKAGIT REGIONAL HEALTH - GRANITE FALLS FAMILY MEDICINE |
| Practice Address |
405 W. Stanley Street Granite Falls WA 98252-8631 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3606192419 |
| Practice Fax Number | 3606910489 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2006-05-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | HAC.FS.00000106 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2058859 | 05 |
| Other Name | Type Code |
|---|---|
| Cascade Valley Medical Center-Granite Falls | Doing Business As Name - Organization |
| Skagit Regional Health | Other Name - Individual/Organization |
| Skagit Regional Health - Granite Falls Family Medicine | Doing Business As Name - 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 |
| 1013064575 | Public Hospital Dist No 1 Skagit | Family Medicine | 1190 Riddle Street, Darrington, WA 98241 | 2007-01-05 |
| 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 |
| 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 |
405 W. STANLEY STREET |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1578668711 | Edward James Bujold | Family Medicine | 4132 Hickory Blvd, Granite Falls, NC 28630-0965 | 2006-09-13 |
| 1245254473 | Phillip S Burk | Family Medicine | 405 W Stanley St, Granite Falls, WA 98252-8631 | 2006-07-27 |
| 1265497853 | Barry Tanne | Family Medicine | 403 S Granite Ave, Granite Falls, WA 98252 | 2006-04-18 |
| 1619943404 | Arthur J Rillo | Family Medicine | 295 10th Ave, Granite Falls, MN 56241 | 2006-02-23 |
| 1104822196 | Michael Lawrence Fisher | Family Medicine | 4355 Hickory Blvd, Granite Falls, NC 28645-1992 | 2005-06-23 |
| 1285145219 | Emily Blake Cook | Family Medicine | 4132 Hickory Blvd, Granite Falls, NC 28630-8371 | 2017-10-17 |
| 1720514672 | Rosa Esmeralda Rios Avendano | Family Medicine | 345 10th Ave, Granite Falls, MN 56241-1442 | 2017-05-11 |
| 1770858938 | Cornerstone Health Care, LLC | Family Medicine | One Trade Street, Granite Falls, NC 28630-1525 | 2012-03-20 |
| 1043508922 | Mark Wendell Eakes | Family Medicine | 295 10th Ave, Granite Falls, MN 56241-1456 | 2011-07-13 |
| Find all providers in GRANITE FALLS | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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| 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.