Physician Compare National (NPI:1437389459)

HEALTHCARE PROVIDER: SALAM Y HALLAK M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437389459
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365597796
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111108000600
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALLAK
	Individual professional last name
Provider First Name	SALAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GHCH PHYSICIAN SERVICES, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7416011184
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	815 K ST
	Group Practice or individual's line 1 address
City	HOQUIAM
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985503705
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3605376430
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAYS HARBOR COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y