Organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other names
Bogachiel Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official
HEIDI ANDERSON (CEO)
(360) 374-6271
Entity
Organization
Contact information
Practice address
390 FOUNDERS WAY, FORKS, WA 98331-9062
(360) 374-6271
(360) 374-9781
Mailing address
390 FOUNDERS WAY, FORKS, WA 98331
(360) 374-6271
(360) 374-9781
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H-054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7047459
—
WA
05
—
7113442
—
WA
Enumeration date
05/09/2006
Last updated
01/11/2022
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