| Lewis County Hospital District No. 1 | |
|
13051 Us Hwy 12, Ste 2 Packwood WA 98361-9835 | |
| (360) 496-5112 | |
| Not Available |
| Full Name | Lewis County Hospital District No. 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 13051 Us Hwy 12, Ste 2, Packwood, Washington |
| Authorized Official Name and Position | Cheryl J Cornwell (CFO) |
| Authorized Official Contact | 3604963647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis County Hospital District No. 1 Po Box 1138 Morton WA 98356-0019 Ph: (360) 496-5112 | Lewis County Hospital District No. 1 13051 Us Hwy 12, Ste 2 Packwood WA 98361-9835 Ph: (360) 496-5112 |
| NPI Number | 1497466494 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 6002727385 |
|---|---|
| Medicare Enrollment ID | O20230302000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497466494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lewis County Hospital District No 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13051 Us Hway 12, Ste 2, Packwood, WA 98361 Phone: 360-496-3777 |