| Lewis County Hospital District No. 1 | |
|
521 Adams Ave Ste B Morton WA 98356-9323 | |
| (360) 496-5145 | |
| Not Available |
| Full Name | Lewis County Hospital District No. 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 Adams Ave Ste B, Morton, Washington |
| Authorized Official Name and Position | Richard Darrell Boggess (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) 496-5145 | Lewis County Hospital District No. 1 521 Adams Ave Ste B Morton WA 98356-9323 Ph: (360) 496-5145 |
| NPI Number | 1952415432 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 6002727385 |
|---|---|
| Medicare Enrollment ID | O20200428002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952415432 | NPI | - | NPPES |
| 7105687 | Medicaid | WA | |
| 50D063567 | Other | WA | CLIA |
| 8432775 | Medicaid | WA | |
| 8273435 | Medicaid | WA | |
| 8273450 | Medicaid | WA | |
| 8273443 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 602086651 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 602086651 (Washington) | Primary |
Lewis County Hospital District No. 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Adams Avenue, Morton, WA 98365 Phone: 360-496-3517 Fax: 360-496-3664 | |
Lewis County Hospital District No. 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Adams Avenue, Morton, WA 98356 Phone: 360-496-3641 Fax: 360-496-5011 | |
Lewis County Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 E Division Ave, Morton, WA 98356 Phone: 360-496-5101 |