Organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO1
Other names
Clallam Bay Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO1
Authorized official
STARLA D DAMAN (BILLING MANAGER)
(360) 374-6271
Entity
Organization
Contact information
Practice address
74 BOGACHIEL ST, CLALLAM BAY, WA 98326
(360) 963-2202
(360) 374-9781
Mailing address
PO BOX 296, CLALLAM BAY, WA 98326
(360) 374-6271
(360) 374-9781
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H-054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102122
—
WA
05
—
7105315
—
WA
Enumeration date
10/25/2006
Last updated
12/14/2016
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