Organization
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Active
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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