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General NPI Number Information
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NPI Number | 1437233236
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Entity Type | Organization
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Legal Business Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT #1
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 530 BOGACHIEL WAY
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City | FORKS
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State | WA
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Zip | 98331-9120
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Country | US
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Telephone | 360-374-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 530 BOGACHIEL WAY
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City | FORKS
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State | WA
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Zip | 98331-9120
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Country | US
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Telephone | 360-374-6271
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Fax |
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Authorized Official
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Title or Position | LEAD PATIENT ACCOUNT REPRESENTATIVE
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Name | LINDA MCKNIGHT
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Credential |
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Telephone | 360-374-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H-054
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License Number State | WA
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