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General NPI Number Information
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NPI Number | 1821950312
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 101 18TH ST SE
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City | LONG BEACH
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State | WA
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Zip | 98631-2500
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Country | US
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Telephone | 360-642-3181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX H
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City | ILWACO
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State | WA
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Zip | 98624-0258
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Country | US
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Telephone | 360-642-6309
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MERRY-ANN KEANE
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Credential |
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Telephone | 366-642-6350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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