| Prosser Public Hospital District Of Benton County | |
|
701 Dale Ave Benton City WA 99320-5250 | |
| (509) 588-4075 | |
| (509) 588-4197 |
| Full Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Dale Ave, Benton City, Washington |
| Authorized Official Name and Position | Craig Marks (CEO) |
| Authorized Official Contact | 5097862222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosser Public Hospital District Of Benton County 723 Memorial St Prosser WA 99350-1524 Ph: (509) 786-2222 | Prosser Public Hospital District Of Benton County 701 Dale Ave Benton City WA 99320-5250 Ph: (509) 588-4075 |
| NPI Number | 1437199072 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 6709787872 |
|---|---|
| Medicare Enrollment ID | O20100622000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437199072 | NPI | - | NPPES |
| 7600067 | Medicaid | WA | |
| 7016165 | Medicaid | WA | |
| 7064801 | Medicaid | WA | |
| 0016909 | Other | WA | BCC L & I # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000056 (Washington) | Primary |