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TRI-STATE MEMORIAL HOSPITAL
NPI 1124135215
Home Health in Clarkston, WA

Active since August 24, 2006
1100 HIGHLAND AVENUE, CLARKSTON, WA 99403(509) 758-2568(509) 758-3413 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri-state Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE MEMORIAL HOSPITAL (NPI 1124135215) is a healthcare organization registered as a home health in Clarkston, Washington and active in the NPI registry since August 2006. The organization lists Alex C Town, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124135215
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTRI-STATE MEMORIAL HOSPITAL
Location Address1100 HIGHLAND AVENUEClarkston, WA 99403
Mailing AddressPo Box 187Clarkston, WA 99403-0187 · (509) 758-5511 · Fax (509) 751-9406
Phone(509) 758-2568
Fax(509) 758-3413
Organization SubpartNo
Authorized OfficialAlex C TownCfo · (509) 758-4667
Enumeration DateAugust 24, 2006
Last NPPES UpdateMay 16, 2012
✔ NPI 1124135215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WA · 15457
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.
1100 HIGHLAND AVENUE, Clarkston, WA 99403
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Other Identifiers 2

Medicare ID-Type Unspecified507111WA · Ugs
Medicaid9044330WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI-STATE MEMORIAL HOSPITAL
Hospice Care, Community Based
1100 HIGHLAND AVENUE
CLARKSTON, WA 99403
Asotin County (509) 758-2568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Memorial Hospital's NPI number?

The NPI number for Tri-State Memorial Hospital is 1124135215. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Tri-State Memorial Hospital located?

Tri-State Memorial Hospital is located at 1100 Highland Avenue, Clarkston, WA 99403. The listed phone number is (509) 758-2568.

What is Tri-State Memorial Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does Tri-State Memorial Hospital accept?

Health plans from PacificSource Health Plans list Tri-State Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-State Memorial Hospital was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.