Organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1
Other names
West End Outreach Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1
Authorized official
TIM COUMYER (CEO)
(360) 374-6271
Entity
Organization
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-5011
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331
(360) 374-6271
(360) 374-9781
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
069
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Enumeration date
10/25/2006
Last updated
12/14/2016
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