| Organization Name: | CLALLAM COUNTY HOSPITAL DISTRICT #1 |
| NPI Number: | 1336259233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD J. HITZ (MULTI FAMILY MEDICAL PRACTICE) |
| Mailing Address: | 590 Bogachiel Way Forks |
| State: | WA US |
| Postal Code: | 983319120 |
| Phone Number: | 3603746998 |
| Fax Number: | 3603749781 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30007054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |