Summit Pacific Wellness Clinic
LBN: Grays Harbor County Public Hospital District No. 1
Summit Pacific Wellness Clinic is an health care organization with primary practice located at 610 E Main Street , Elma WA 98541-9551. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Grays Harbor County Public Hospital District No. 1 can be contacted via phone (360) 346-2222, or through Jensen, Renee K via phone (360) 495-3244.
Contact Information
Primary practice address
610 E Main Street
Elma WA 98541-9551
Phone: (360) 346-2222
Fax: (360) 346-2163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | HAC.FS.00000186 | Washington |
Profile Details
| NPI number | 1811025216 |
|---|---|
| LBN Legal business name | Grays Harbor County Public Hospital District No. 1 |
| DBA Doing business as | Summit Pacific Wellness Clinic |
| Authorized official | Jensen, Renee K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jan 18th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811025216 | NPPES |
| Washington | MEDICAID | 7103815 |
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