Organization
LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Randle Clinic, Arbor Health Randle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOGGESS (CFO)
(360) 496-3647
Entity
Organization
Contact information
Practice address
108 KINDLE ROAD, RANDLE, WA 98377
(360) 497-3333
(360) 497-5073
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-3504
(360) 496-3508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101851
LABOR AND INDUSTRIES
WA
05
—
7047129
—
WA
Enumeration date
07/12/2006
Last updated
08/20/2019
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