Public Hospital District 3 of Pacific County

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY

Practice address

101 18TH St SE
Long Beach, WA 98631-2500

Phone

(360) 642-3181

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Merry-Ann Keane

Title

Ceo

Phone

(366) 642-6350

Specialties & licenses 1

Addresses

Other names 1

• Ocean Beach Health - Long Beach Clinic Doing business as

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Public Hospital District 3 of Pacific County

  • Critical Access Hospital
  • Ilwaco, WA
  • NPI 1295771376

  O20040219000157

  Same enrollment
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Ocean Park, WA
  • NPI 1417482191

  O20040219000157

  Same enrollment
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Iiwaco, WA
  • NPI 1639165905

  O20040219000157

  Same enrollment
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Ilwaco, WA
  • NPI 1871822676

  O20040219000157

  Same enrollment
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Naselle, WA
  • NPI 1881858140

  O20040219000157

  Same enrollment

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Pac Co Hosp DST Obh Uni4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Ilwaco, WA
  • NPI 1518334523
  NPD tax ID
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Naselle, WA
  • NPI 1881858140
  NPD tax ID
• Public Hospital District 3 of Pacific County

  • Medicare Defined Swing Bed Hospital Unit
  • Ilwaco, WA
  • NPI 1902074776
  NPD tax ID

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1821950312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240258",
            "telephone_number": "360-642-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 18TH ST SE",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986312500",
            "telephone_number": "360-642-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "MERRY-ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "366-642-6350"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Beach Health - Long Beach Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clay Wesley Petrovski
• Robert R Pingree, LICSW
• Tamera Pitmon
• Melodie Nichelle Presler
• Leeann Prince
• Marilyn Ida Raymer, RN
• Charlotte M Rock, LMP
• Sandra Marie Ruch
• Ronnie Rucker
• Ronald Lee Scaman, OD

• All providers in Long Beach, WA
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.