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SKAGIT VALLEY HOSPITAL NEURODEVELOPMENTAL CENTER
NPI 1265776918
Clinic/Center - Developmental Disabilities in Mount Vernon, WA

Active since November 19, 2012
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 814-8382 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Skagit Valley Hospital Neurodevelopmental Center NPPES

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

SKAGIT VALLEY HOSPITAL NEURODEVELOPMENTAL CENTER (NPI 1265776918) is a healthcare organization registered as a developmental disabilities in Mount Vernon, Washington and active in the NPI registry since November 2012. The organization lists Paul Ishizuka, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1265776918
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NamePUBLIC HOSPITAL DIST NO 1 SKAGIT
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address1400 E Kincaid St, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 814-6724
Phone(360) 814-8382
Organization SubpartYes
Authorized OfficialPaul IshizukaChief Financial Officer · (360) 814-5838
Enumeration DateNovember 19, 2012
Last NPPES UpdateDecember 6, 2017
✔ NPI 1265776918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in WA · H-207
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1415 E KINCAID ST, Mount Vernon, WA 98274
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Other Names 1

Doing Business AsSkagit Valley Hospital Neurodevelopmental Center

Other Identifiers 1

Medicaid2024212WA

Other Providers at the Same Location NPPES 20

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

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Public Hospital Dist No 1 Skagit's NPI number?

The NPI number for Public Hospital Dist No 1 Skagit is 1265776918. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Skagit Valley Hospital Neurodevelopmental Center.

Where is Public Hospital Dist No 1 Skagit located?

Public Hospital Dist No 1 Skagit is located at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 814-8382.

What is Public Hospital Dist No 1 Skagit's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Public Hospital Dist No 1 Skagit was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.