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Tri-state Memorial Hospital
Home Health Agency in Clarkston, Washington
NPI 1124135215

Tri-state Memorial Hospital is a Home Health Agency based in Clarkston, WA. Tri-state Memorial Hospital practices in Clarkston, WA. The NPI Number for Tri-state Memorial Hospital is 1124135215 and holds a License No. 15457 (Washington).

The current practice location address for Tri-state Memorial Hospital is 1100 Highland Avenue, Clarkston, WA and can be reached out via phone at 509-758-2568 and via fax at 509-758-3413.

Location: 1100 Highland Avenue, Clarkston, WA, 99403-0187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124135215
Provider Name
Tri-state Memorial Hospital
Credential
Provider Entity Type
Organization
Address
1100 Highland Avenue, Clarkston, WA, 99403-0187
Phone Number
509-758-2568
Fax Number
509-758-3413
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9044330 05 WA
institution
Provider Business Practice Location Address Details
Address
1100 Highland Avenue
City
Clarkston
State
Washington
Zip
99403
Phone Number
509-758-2568
Fax Number
509-758-3413
person
Provider Business Mailing Address Details
Address
1100 Highland Avenue
City
Clarkston
State
Washington
Zip
99403
Phone Number
509-758-2568
Fax Number
509-758-3413
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
15457 (Washington)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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