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TRI-STATE MEMORIAL HOSPITAL
NPI 1174697353
Medicare Defined Swing Bed Unit in Clarkston, WA

Active since November 20, 2006
1221 HIGHLAND AVENUE, CLARKSTON, WA 99403(509) 758-5511(509) 751-9406 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 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 1174697353) is a healthcare organization registered as a medicare defined swing bed unit in Clarkston, Washington and active in the NPI registry since November 2006. The organization lists Alex C Town, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174697353
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameTRI-STATE MEMORIAL HOSPITAL
Location Address1221 HIGHLAND AVENUEClarkston, WA 99403
Mailing AddressPo Box 189Clarkston, WA 99403 · (509) 758-5511 · Fax (509) 751-9406
Phone(509) 758-5511
Fax(509) 751-9406
Organization SubpartNo
Authorized OfficialAlex C TownCfo · (509) 758-4667
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1174697353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in WA · H108
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
1221 HIGHLAND AVENUE, Clarkston, WA 99403
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Other Identifiers 3

Medicaid3308004WA
Medicaid806933500ID
Medicare ID-Type Unspecified50Z332WA

Other Providers at the Same Location NPPES 2

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

DONALD KENNETH CHIN MD
Emergency Medicine
1221 HIGHLAND AVENUE
CLARKSTON, WA 99403
Asotin County (509) 758-5511
MRS. MICHELLE LYNN SKINNER RD CD
Dietitian, Registered
1221 HIGHLAND AVENUE
CLARKSTON, WA 99403
Asotin County (509) 758-5511

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 1174697353. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Tri-State Memorial Hospital located?

Tri-State Memorial Hospital is located at 1221 Highland Avenue, Clarkston, WA 99403. The listed phone number is (509) 758-5511.

What is Tri-State Memorial Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Memorial Hospital was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.