| Clallam County Public Hospital District No 1 | |
|
461 G St Forks WA 98331-9025 | |
| (360) 374-6271 | |
| (360) 374-9781 |
| Full Name | Clallam County Public Hospital District No 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 461 G St, Forks, Washington |
| Authorized Official Name and Position | Carie Micheau (COMPLIANCE OFFICER) |
| Authorized Official Contact | 3603746271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clallam County Public Hospital District No 1 530 Bogachiel Way Forks WA 98331-9120 Ph: (360) 374-6271 | Clallam County Public Hospital District No 1 461 G St Forks WA 98331-9025 Ph: (360) 374-6271 |
| NPI Number | 1285290338 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 08/09/2019 |
| Medicare PECOS PAC ID | 1557256468 |
|---|---|
| Medicare Enrollment ID | O20190624000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285290338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Richard L Dickson, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 West E. St., Forks, WA 98331 Phone: 360-374-6642 Fax: 360-374-5335 | |
Family Medical Center Of Forks, Inc, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Harrison Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Clallam County Public Hospital District No 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Founders Way, Forks, WA 98331 Phone: 360-374-6271 Fax: 360-374-9781 | |
Chinook Pharmacy Clinical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Forks Ave Ste A, Forks, WA 98331 Phone: 360-374-2294 Fax: 360-374-5057 | |
Richard L. Dickson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 West E St, Forks, WA 98331 Phone: 360-374-6642 Fax: 360-374-5335 |