Organization
LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Arbor Health Packwood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL J CORNWELL (CFO)
(360) 496-3647
Entity
Organization
Contact information
Practice address
13051 US HWY 12, STE 2, PACKWOOD, WA 98361-9835
(360) 496-5112
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-5112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
10/02/2024
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