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 NO 1
Other names
Forks Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official
CARIE MICHEAU (COMPLIANCE OFFICER)
(360) 374-6271
Entity
Organization
Contact information
Practice address
461 G ST, FORKS, WA 98331-9025
(360) 374-6271
(360) 374-9781
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-6271
(360) 374-9781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
08/09/2019
Update your record
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