Organization
GRAYS HARBOR COMMUNITY HOSPITAL
Active
Other names
GHCH Montesano Clinic, The Montesano Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONE J EEK (EXECUTIVE DIRECTOR REVENUE CYCLE)
(360) 581-5495
Entity
Organization
Contact information
Practice address
319 E PIONEER AVE, MONTESANO, WA 98563-4601
(360) 249-3300
Mailing address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 537-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366800
—
WA
Enumeration date
01/23/2018
Last updated
06/16/2018
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