NPIMap

Organization Active NPI

Lewis County Hospital Dist #1

  • Critical Access Hospital Clinic/Center
  • Morton, WA
National Provider Identifier
1649324674
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
H173 Issued in WA
Legal business name
LEWIS COUNTY HOSPITAL DIST #1
Practice address
521 Adams Avenue
Morton, WA 98356
Phone
(360) 496-5112
NPI assigned
Jan 23, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Tim Cournyer
Title
Cfo
Phone
(360) 496-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X H173 WA Primary

Addresses

Primary practice location

521 Adams Avenue
Morton, WA 98356

Mailing address

PO Box 508
Mossyrock, WA 98564-0508
Phone (360) 496-3702

Other identifiers 1

IdentifierTypeStateIssuer
7135205MedicaidWA

Other names 1

  • Physical Therapy Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Hosp Dist No 19 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1649324674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "985640508",
            "telephone_number": "360-496-3702",
            "fax_number": "360-983-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ADAMS AVENUE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "98356",
            "telephone_number": "360-496-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY HOSPITAL DIST #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "COURNYER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-496-3701"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "WA",
            "license": "H173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.