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Clallam County Public Hospital District No 1

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

NPI number1285683052
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1285683052
Entity type
Organization (NPI-2)
Legal business name
Clallam County Public Hospital District No 1
Organization subpart
Yes
Enumeration date
May 9, 2006
Certification date
Jan 11, 2022
Last updated
Jan 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural HealthH-054WAYes

Other names

  • Bogachiel Clinic (Doing Business As)

Practice location

390 Founders Way
Forks, WA 98331-9062

Phone 360-374-6271 · Fax 360-374-9781

Mailing address

390 Founders Way
Forks, WA 98331

Phone 360-374-6271 · Fax 360-374-9781

Authorized official

Heidi Anderson
Ceo
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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