Clallam County Public Hospital District No 1

A Medicare group practice based in Forks, WA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 1557256468), with 59 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557256468The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
6
Group size
33 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040219000309 WA Part B Supplier - Clinic/Group Practice 1891879680
O20051219000437 WA Part A Provider - Critical Access Hospital 1891879680
O20090323000125 WA Part A Provider - Rural Health Clinic 1235213034
O20090522000376 WA Part A Provider - Rural Health Clinic 1285683052
O20120308000513 WA Part A Provider - Critical Access Hospital 1528142320
O20190624000999 WA Part A Provider - Rural Health Clinic 1285290338

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 59

Clinicians who reassign their Medicare benefits to this group (56) or whom Care Compare lists as members (33).

Sources for this page