| Public Hospital District 3 Of Pacific County | |
|
1501 Bay Ave Suite 201 Ocean Park WA 98640-4203 | |
| (360) 642-3747 | |
| Not Available |
| Full Name | Public Hospital District 3 Of Pacific County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Bay Ave, Ocean Park, Washington |
| Authorized Official Name and Position | Larry Cohen (CEO) |
| Authorized Official Contact | 3606423181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Hospital District 3 Of Pacific County Po Box N Ilwaco WA 98624-0319 Ph: () - | Public Hospital District 3 Of Pacific County 1501 Bay Ave Suite 201 Ocean Park WA 98640-4203 Ph: (360) 642-3747 |
| NPI Number | 1417482191 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 7214822105 |
|---|---|
| Medicare Enrollment ID | O20171115003436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417482191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | HAC.FS00000079 (Washington) | Primary |
Cowlitz Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21610 Pacific Hwy, Ocean Park, WA 98640 Phone: 360-665-3000 Fax: 360-665-3096 |