OrganizationActive
Public Hospital Dist No 1 Skagit
NPI 1265776918 · Developmental Disabilities Clinic/Center · Mount Vernon, WA
Provider details
- NPI number
- 1265776918
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Public Hospital Dist No 1 Skagit
- Organization subpart
- Yes
- Authorized official
- Paul Ishizuka, Chief Financial Officer(360) 814-5838
- License
- H-207 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone: (360) 814-8382
Street-level locationGet directions
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Other names (DBA / former)
- Doing business as
- Skagit Valley Hospital Neurodevelopmental Center
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2017-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.