Organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other names
Forks Community Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official
TIM COURNYER (CEO)
(360) 374-6271
Entity
Organization
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-6271
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331
(360) 374-6271
(360) 374-9781
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
H-054
WA
282NC0060X
Critical Access Hospital
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4205407
—
WA
Enumeration date
10/25/2006
Last updated
01/03/2017
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