Eastern State Hospital Pharmacy in Medical Lake - Psychiatric Hospital
Eastern State Hospital Pharmacy - NPI 1679651970
Eastern State Hospital Pharmacy is a Psychiatric Hospital in Medical Lake, Washington. Eastern State Hospital Pharmacy practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Eastern State Hospital Pharmacy is 1679651970. The last update date is 2018-10-15.
Eastern State Hospital Pharmacy's current location address is 850 Maple Street, Medical Lake, Washington. You can contact this provider via phone number 5095654659 and fax number 5095657015. The mailing address for Eastern State Hospital Pharmacy is 850 Maple Street, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern State Hospital Pharmacy |
|---|---|
| Address | 850 Maple Street, Medical Lake, Washington |
| Phone Number | 5095654659 |
| Fax Number | 5095657015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Kenney D Ronda |
| Credentials | MPA |
| Telephone Number | 5095654659 |
NPI Number Detail
| NPI Number | 1679651970 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2018-10-15 |
Provider Mailing Address Detail
| Address | 850 Maple Street |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 99022 |
| Phone Number | 5095654659 |
| Fax Number | 5095657015 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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What is the unique 10-digit identification code issued to Eastern State Hospital Pharmacy by the Centers for Medicare & Medicaid Services?
The Eastern State Hospital Pharmacy has been assigned the NPI (National Provider Identifier) 1679651970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Eastern State Hospital Pharmacy's facilities are situated?
The facilities of Eastern State Hospital Pharmacy are physically located at the following address: 850 Maple Street, Medical Lake, WA, 99022.
What is Eastern State Hospital Pharmacy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eastern State Hospital Pharmacy is Psychiatric Hospital, and the taxonomy code that classifies this field of practice is 283Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679651970 to Eastern State Hospital Pharmacy?
The Centers for Medicare & Medicaid Services assigned the 1679651970 to Eastern State Hospital Pharmacy on 2006-11-02.
When was the information regarding Eastern State Hospital Pharmacy most recently updated?
The details pertaining to the Eastern State Hospital Pharmacy, including its address, specialty, and other relevant information, were last refreshed on 2018-10-15.
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