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Organization
LEWIS COUNTY HOSPITAL DIST #1
Active
Organization
LEWIS COUNTY HOSPITAL DIST #1
Active
Other names
Physical Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
TIM COURNYER (CFO)
(360) 496-3701
Entity
Organization
Contact information
Practice address
521 ADAMS AVENUE, MORTON, WA 98356
(360) 496-5112
Mailing address
PO BOX 508, MOSSYROCK, WA 98564-0508
(360) 496-3702
(360) 983-3098
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
H173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7135205
—
WA
Enumeration date
01/23/2007
Last updated
04/30/2008
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