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Organization

GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Active
Other names
dba-McCleary Healthcare Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENEE K. JENSEN (CEO)
(360) 346-2222
Entity
Organization

Contact information

Practice address
105 W SIMPSON AVE, MCCLEARY, WA 98557-9657
(360) 346-2222
Mailing address
600 E. MAIN STREET, ELMA, WA 98541
(360) 346-2222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
HAC.FS.00000186
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106275
CRIME VICTIM
WA
01
106276
L&I
WA
01
135
REGENCE PRO
WA
05
7105406
WA
Enumeration date
11/09/2006
Last updated
04/18/2016
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