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NPI Code Detail

MEDICARE: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2

MEDICARE: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital054003327WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306845557
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Provider Business Mailing Address
First Line : PO BOX 24030
Second Line :
City : SEATTLE
State : WA
Zip : 98124-0030
Country : US
Telephone Number : 360-417-7000
Fax Number : 360-565-9241
Provider Business Practice Location Address
First Line : 939 CAROLINE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3909
Country : US
Telephone Number : 360-417-7000
Fax Number : 360-417-7602
Authorized Official
Title or Position : INTERIM CEO
Name : MR. CHARLES MARK GREGSON
Credential :
Telephone Number : 360-417-7705
Provider Enumeration Date : 07/19/2005
Last Update Date : 01/27/2026

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Directions to “CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2 ” Practice Location

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