CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (NPI# 1891879680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891879680 |
| Entity Type | Organization |
| Organization Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Other Organization Name | FORKS COMMUNITY HOSPITAL |
| Practice Address |
530 Bogachiel Way Forks WA 98331-9120 |
| Practice Telephone | 3603746271 |
| Mailing Telephone | 3603746271 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | STARLA DAMAN (BILLING MANGER) |
| Authorized Official Telephone | 3603746271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H-054 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3302809 | 05 |
| Other Name | Type Code |
|---|---|
| Forks Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235213034 | Clallam County Public Hospital District No 1 | Clinic/Center | 74 Bogachiel St, Clallam Bay, WA 98326 | 2006-10-25 |
| 1285290338 | Clallam County Public Hospital District No 1 | Family Medicine | 461 G St, Forks, WA 98331-9025 | 2019-05-14 |
| 1790869592 | Clallam County Public Hospital District No 1 | Community/Behavioral Health | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-10-25 |
| 1528142320 | Clallam County Public Hospital District No 1 | General Acute Care Hospital | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-10-25 |
| Street Address |
530 BOGACHIEL WAY |
| City | FORKS |
| State | WA |
| Zip Code | 98331-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009481 | Charles H. Miller | Nurse Anesthetist, Certified Registered | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-03-29 |
| 1508404799 | Leta Maile Lawhead | Social Worker | 530 Bogachiel Way, Forks, WA 98331-9120 | 2019-12-18 |
| 1205394772 | Kyle Connery | Physical Therapist | 530 Bogachiel Way, Forks, WA 98331-9120 | 2019-03-04 |
| 1659885390 | Shantell Lee Leinan | Massage Therapist | 530 Bogachiel Way, Forks, WA 98331-9120 | 2017-11-16 |
| 1720538903 | Ken Morris | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-10-11 |
| 1548715394 | Christine Lee | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-08-22 |
| 1376098368 | Dayna Guillermo | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-08-18 |
| 1245636141 | Edna Bowlby | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| 1144626045 | Jolene Price | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| 1124424957 | Linton Petersen | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1497298046 | Cathy A. Clark L.m.p. | Massage Therapist | 186-375 Hwy. 101, Forks, WA 98331 | 2016-11-30 |
| 1841447752 | Concerned Citizens | Early Intervention Provider Agency | 945 S Forks Ave, Forks, WA 98331 | 2008-08-21 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1578612875 | Anea Beck Ownes | Massage Therapist | 230 Willow Ave, Forks, WA 98331 | 2007-01-09 |
| 1295820173 | Howard Edward Berris | Dentist | 37325 W 12 Mile Rd, Suite B, Farmington Hills, MI 98331 | 2006-10-04 |
| 1760455075 | Richard Lee Dickson | Family Medicine | 481 W E St, Forks, WA 98331 | 2006-02-08 |
| 1700382843 | Vernon Rondeau | Registered Nurse | 560 Quileute Heights, La Push, WA 98331 | 2018-04-05 |
| 1649353178 | Susan Keilman | Midwife | 590 Bogachiel Way, Forks, WA 98331 | 2006-10-20 |
| Find all providers in zip 98331 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528142320 | Clallam County Public Hospital District No 1 | General Acute Care Hospital | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-10-25 |
| 1437233236 | Clallam County Public Hospital District #1 | General Acute Care Hospital | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-10-25 |
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|---|---|---|---|---|
| 1982157640 | University of Washington | General Acute Care Hospital | 140 W Florentia St Apt C, Seattle, WA 98119-2393 | 2016-07-29 |
| 1396199824 | Seattle Extracorporeal | General Acute Care Hospital | 925 Seneca Street, Seattle Extracorporeal, Seattle, WA 98101 | 2016-04-21 |
| 1487917233 | Peacehealth Peace Island Medical Center | General Acute Care Hospital | 1117 Spring Street, Friday Harbor, WA 98250-7303 | 2012-06-18 |
| 1699914226 | 633 | General Acute Care Hospital | 7244 237th Ave Ne, Redmond, WA 98053-7914 | 2009-02-04 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
| 1508911645 | Okanogan Douglas County Hospital Dist 1 | General Acute Care Hospital | 537 West Main, Brewster, WA 98812 | 2007-01-25 |
| 1801944038 | Us Veterns Hospital Pharmacy | General Acute Care Hospital | 611 Sw 1st Ct, Battle Ground, WA 98604-8424 | 2007-01-05 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.