| Organization Name: | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1 |
| NPI Number: | 1326122128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCY JUSTUS (LEAD PATIENT ACCOUNT REPRESENTATIVE) |
| Mailing Address: | 231 Lupine Ave Forks |
| State: | WA US |
| Postal Code: | 983319269 |
| Phone Number: | 3603743143 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 01/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | H-054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |