Organization
LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Arbor Health Morton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DARRELL BOGGESS (CFO)
(360) 496-3647
Entity
Organization
Contact information
Practice address
521 ADAMS AVE STE B, MORTON, WA 98356-9323
(360) 496-5145
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-5145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
602086651
WA
261QR1300X
Rural Health Clinic/Center
Primary
602086651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D063567
CLIA
WA
05
—
7105687
—
WA
05
—
8273435
—
WA
05
—
8273443
—
WA
05
—
8273450
—
WA
05
—
8432775
—
WA
Enumeration date
08/19/2006
Last updated
02/01/2024
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