Organization
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
Active
Other names
Ocean Beach Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY COHEN (CEO)
(360) 642-3181
Entity
Organization
Contact information
Practice address
174 1ST AVENUE NORTH, ILWACO, WA 98624-0258
(360) 642-3181
(360) 642-6309
Mailing address
PO BOX H, ILWACO, WA 98624-0258
(360) 642-3181
(360) 642-6309
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
H-079
WA
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3627502
—
WA
01
—
H-079
STATE OF WA DOH LICENSE
WA
01
—
MT0804
DOH MED. TEST LICENSE
WA
Enumeration date
06/20/2006
Last updated
03/12/2019
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