NPIMap

Organization Active NPI

Public Hospital District 3 of Pacific County

Doing business as Ocean Beach Hospital and Clinics Women's Health Center

  • Rural Health Clinic/Center
  • Ilwaco, WA
National Provider Identifier
1871822676
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
Doing business as
Ocean Beach Hospital and Clinics Women's Health Center
Practice address
167 1St Avenue North
Ilwaco, WA 98624-0319
Phone
(360) 642-6498
Fax
(360) 642-0114
NPI assigned
Dec 8, 2009
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Mr. Joseph M Devin
Title
Ceo
Phone
(360) 642-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

167 1St Avenue North
Ilwaco, WA 98624-0319

Mailing address

167 1St Avenue North
Ilwaco, WA 98624-0000
Phone (360) 642-6498

Other names 1

  • Ocean Beach Hospital and Clinics Women's Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000157 WA Part B Supplier - Clinic/Group Practice 7214822105 Receives reassigned benefits from 33 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ilwaco, WA; Long Beach, WA; Naselle, WA; Ocean Park, WA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1871822676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 1ST AVENUE NORTH",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240000",
            "telephone_number": "360-642-6498",
            "fax_number": "360-642-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 1ST AVENUE NORTH",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240319",
            "telephone_number": "360-642-6498",
            "fax_number": "360-642-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "DEVIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-642-3181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Beach Hospital and Clinics Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ilwaco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.