NPIMap

Organization Active NPI

Clallam County Public Hospital District 2

Doing business as Olympic Medical Center

  • General Acute Care Hospital
  • Port Angeles, WA
National Provider Identifier
1306845557
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
054003327 Issued in WA
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
Olympic Medical Center
Practice address
939 Caroline St
Port Angeles, WA 98362-3909
Phone
(360) 417-7000
Fax
(360) 417-7602
NPI assigned
Jul 19, 2005
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles Mark Gregson
Title
Interim Ceo
Phone
(360) 417-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 054003327 WA Primary

Addresses

Primary practice location

939 Caroline St
Port Angeles, WA 98362-3909

Mailing address

PO Box 24030
Seattle, WA 98124-0030
Phone (360) 417-7000

Other identifiers 1

IdentifierTypeStateIssuer
1306845557MedicaidWA

Other names 1

  • Olympic Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615000841 WA Part A Provider - Hospital 1456265651 Practice locations: Port Angeles, WA; Sequim, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306845557. Details of each certification follow.

Hospital certification: CCN 500072

Legal name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
OLYMPIC MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 29, 1990
Beds
126
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Nov 1, 1951 in WA
Enrollment address
939 Caroline St
Port Angeles, WA 98362-3909
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Olympic Medical CenterCCN 500072 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0065651Olympic Medical Center Laboratory939 Caroline St, Port Angeles, WA 98362AccreditationApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1102 E Front St
Port Angeles, WA 98362
Phone (360) 452-9729

675 N 5th Ave
Sequim, WA 98382
Phone (360) 683-2198

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Philip Guintoli Individual Corporate DirectorBoard of Director May 18, 2022
Thomas Hightower Individual Corporate Director Feb 7, 2018
John Thomas Oblack Individual Corporate DirectorDirector Feb 1, 2012
Carleen T Bensen Individual Corporate DirectorBoard of Directors Jan 7, 2026
Dennis Stillman Individual Contracted Managing EmployeeCfo Sep 11, 2025 100%
Corporate Officer Sep 11, 2025
Charles Mark Gregson Individual Contracted Managing EmployeeCeo Aug 20, 2025 100%
Corporate OfficerInterim Ceo Aug 20, 2025
Kathryn Penney Sanders Individual Corporate DirectorBoard of Director Mar 5, 2025
Gerald B Stephanz Individual Corporate DirectorBoard of Director Jan 7, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Olympic Medical Home HealthPort Angeles, WA, CCN 507072 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 28, 1995

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

Affiliated clinicians 762

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 762

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1306845557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24030",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240030",
            "telephone_number": "360-417-7000",
            "fax_number": "360-565-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623909",
            "telephone_number": "360-417-7000",
            "fax_number": "360-417-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GREGSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "360-417-7705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "054003327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306845557",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympic Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.