Organization
HARRISON MEDICAL CENTER
Active
Parent organization
HARRISON MEDICAL CENTER
Other names
Harrison Health Partners Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRISON MEDICAL CENTER
Authorized official
DAVID SCHULTZ (PRESIDENT)
(360) 744-6505
Entity
Organization
Contact information
Practice address
461 G ST, FORKS, WA 98331-9025
(360) 374-6224
(360) 374-6039
Mailing address
461 G ST, FORKS, WA 98331-9025
(360) 374-6224
(360) 374-6039
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020155
—
WA
01
—
287849
LABOR AND INDUSTRIES
WA
Enumeration date
10/18/2011
Last updated
07/13/2015
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