Organization
COUNTY OF PACIFIC
Active
Other names
Pacific County Public Health and Human Service Department
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIE E MINKS (DEPUTY DIRECTOR)
(360) 214-6087
Entity
Organization
Contact information
Practice address
1216 WEST ROBERT BUSH DRIVE, SOUTH BEND, WA 98586
(360) 875-9343
(360) 875-9323
Mailing address
PO BOX 26, SOUTH BEND, WA 98586-0026
(360) 875-9343
(360) 875-9323
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7261308
—
WA
05
—
7400930
—
WA
05
—
7403801
—
WA
05
—
7902703
—
WA
Enumeration date
04/16/2007
Last updated
08/23/2024
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