# LEWIS COUNTY HOSPITAL DIST \#1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649324674
- **Authorized official:** TIM COURNYER (CFO)
- **Authorized official phone:** (360) 496-3701

## Contact information

- **Practice address:** 521 ADAMS AVENUE, MORTON, WA 98356
- **Practice address phone:** (360) 496-5112
- **Mailing address:** PO BOX 508, MOSSYROCK, WA 98564-0508
- **Mailing address phone:** (360) 496-3702
- **Mailing address fax:** (360) 983-3098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | H173 | WA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7135205 | — | WA |