| Skagit Valley Psychiatic Services | |
|
1415 E Kincaid St Mount Vernon WA 98274-4126 | |
| (360) 424-2511 | |
| (360) 424-2522 |
| Full Name | Skagit Valley Psychiatic Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1415 E Kincaid St, Mount Vernon, Washington |
| Authorized Official Name and Position | Thomas C Litaker (CFO) |
| Authorized Official Contact | 3608148346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skagit Valley Psychiatic Services 1415 E Kincaid St Mount Vernon WA 98274-4126 Ph: (360) 424-2511 | Skagit Valley Psychiatic Services 1415 E Kincaid St Mount Vernon WA 98274-4126 Ph: (360) 424-2511 |
| NPI Number | 1457588386 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457588386 | NPI | - | NPPES |
| 0250523 | Other | WA | DEPARTMENT OF LABOR AND INDUSTRIES |
| 2002556 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | HAC.FS.00000207 (Washington) | Primary |
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