Organization
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
Active
Other names
Ocean Beach Medical Group -Ocean Park
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY COHEN (CEO)
(360) 642-3181
Entity
Organization
Contact information
Practice address
1501 BAY AVE, SUITE 201, OCEAN PARK, WA 98640-4203
(360) 642-3747
Mailing address
PO BOX N, ILWACO, WA 98624-0319
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
HAC.FS00000079
WA
Other
Enumeration date
05/01/2017
Last updated
03/12/2019
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