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Clallam County Public Hospital District No 1

Clinic/Center, Rural Health in Forks, WA. Organization (NPI-2).

NPI number1285290338
StatusActive
Last updated in NPPESAug 9, 2019

Details

NPI
1285290338
Entity type
Organization (NPI-2)
Legal business name
Clallam County Public Hospital District No 1
Organization subpart
Yes
Enumeration date
May 14, 2019
Last updated
Aug 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes
207Q00000X Family Medicine––

Other names

  • Forks Family Medical Clinic (Doing Business As)

Practice location

461 G St
Forks, WA 98331-9025

Phone 360-374-6271 · Fax 360-374-9781

Mailing address

530 Bogachiel Way
Forks, WA 98331-9120

Phone 360-374-6271 · Fax 360-374-9781

Authorized official

Carie Micheau
Compliance Officer
3603746271

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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