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Organization

LEWIS COUNTY HOSPITAL DISTRICT NO. 1

Active
Other names
Arbor Health Randle Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BOGGESS (CFO)
(360) 496-5112
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) 496-5112
(360) 496-3504

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H173
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7111230
WA
01
DB0062
RAILROAD MEDICARE
WA
Enumeration date
07/04/2006
Last updated
03/19/2026
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