Provider Demographics
NPI:1992729461
Name:ADAMS COUNTY HOSPITAL 2
Entity type:Organization
Organization Name:ADAMS COUNTY HOSPITAL 2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:TAMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-659-1200
Mailing Address - Street 1:903 SOUTH ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:RITZVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99169
Mailing Address - Country:US
Mailing Address - Phone:509-659-1200
Mailing Address - Fax:509-659-1252
Practice Address - Street 1:903 SOUTH ADAMS ST
Practice Address - Street 2:
Practice Address - City:RITZVILLE
Practice Address - State:WA
Practice Address - Zip Code:99169
Practice Address - Country:US
Practice Address - Phone:509-659-1200
Practice Address - Fax:509-659-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHAC.FS.00000111282NC0060X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7114317Medicaid
WA0050906OtherWA L&I
WA9159609Medicaid
WA0148592OtherWA L&I
WA7590375Medicaid
WA0051688OtherWA L&I
WA8119547Medicaid
WA8157364Medicaid
WA3303906Medicaid
WA8323438Medicaid
WAF28137Medicare UPIN
WA8157364Medicaid
WA0050906OtherWA L&I
WAQ61323Medicare UPIN
WAG000356504Medicare ID - Type Unspecified
WAG000356506Medicare ID - Type Unspecified
WA3303906Medicaid
WAG8803965Medicare ID - Type Unspecified
WAG8858038Medicare ID - Type Unspecified
WA9159609Medicaid