# GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Pacific Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043730021
- **Authorized official:** WILL CALLICOAT (CFO)
- **Authorized official phone:** (360) 346-2222

## Contact information

- **Practice address:** 600 E MAIN ST, ELMA, WA 98541-9560
- **Practice address phone:** (360) 346-2222
- **Practice address fax:** (360) 346-2157
- **Mailing address:** 600 E MAIN ST, ELMA, WA 98541-9560
- **Mailing address phone:** (360) 346-2299
- **Mailing address fax:** (360) 346-2157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 600424913 | WA | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 06/21/2017