| Pacific County Hospital District #2 | |
|
800 Alder Street Southbend WA 98586 | |
| (360) 875-5339 | |
| (360) 875-6167 |
| Full Name | Pacific County Hospital District #2 |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Alder Street, Southbend, Washington |
| Authorized Official Name and Position | Terry Stone (CFO) |
| Authorized Official Contact | 3608754508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific County Hospital District #2 Po Box 1370 800 Alder Street Southbend WA 98586 Ph: (360) 875-5339 | Pacific County Hospital District #2 800 Alder Street Southbend WA 98586 Ph: (360) 875-5339 |
| NPI Number | 1982761904 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982761904 | NPI | - | NPPES |
| 7102957 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |