Department of Social Dept of Shs Div of Instns
Department of Social Dept of Shs Div of Instns is a Psychiatric Hospital in Medical Lake, Washington. Registered with an NPI since 2005.
- In the registry since
- 2005
Practice location Address checks out
850 Maple StMedical Lake, WA 99022-0800
Phone: (509) 565-4000
Fax: (509) 565-4705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X |
|---|
Record details
| NPI number | 1467440602 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Graham — Director, Revenue Cycle · (509) 565-4131 |
| Other names | Eastern State Hospital; Eastern State Hospital |
| NPI enumerated | October 12, 2005 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | February 28, 2022 |
| Mailing address | Po Box 800, 850 Maple St, Medical Lake, WA 99022-0800 |
Other providers in Medical Lake
-
Eastern State Hospital Pharmacy
800 W Maple St, Medical Lake, WA 99022-0800 · (509) 299-3121