NPIMap

Organization Active NPI

Clallam County Public Hospital District #1

  • Critical Access Hospital
  • Forks, WA
National Provider Identifier
1437233236
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-054 Issued in WA
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1
Practice address
530 Bogachiel Way
Forks, WA 98331-9120
Phone
(360) 374-6271
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Linda McKnight
Title
Lead Patient Account Representative
Phone
(360) 374-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-054 WA Primary

Addresses

Primary practice location

530 Bogachiel Way
Forks, WA 98331-9120

Mailing address

530 Bogachiel Way
Forks, WA 98331-9120
Phone (360) 374-6271

Other identifiers 1

IdentifierTypeStateIssuer
3302809MedicaidWA

Other names 1

  • Forks Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clallma County Hosp Dis4 organizations share this tax ID, including this one
Part of
Clallma County Hosp Dis

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1437233236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BOGACHIEL WAY",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319120",
            "telephone_number": "360-374-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BOGACHIEL WAY",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319120",
            "telephone_number": "360-374-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "LEAD PATIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "360-374-6271"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302809",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forks Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forks, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.