Organization
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES
Active
Other names
Summit Pacific Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILL CALLICOAT (CFO)
(360) 346-2222
Entity
Organization
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2222
(360) 346-2157
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2299
(360) 346-2157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
600424913
WA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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