Summit Pacific Healthcare Clinic

LBN: Grays Harbor County Public Hospital District No. 1
Summit Pacific Healthcare Clinic is an health care organization with primary practice located at 600 E. Main Street , Elma WA 98541. 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) 495-3244, or through Jensen, Renee K via phone (360) 495-3244.

Contact Information

Primary practice address
600 E. Main Street Elma WA 98541
Phone: (360) 495-3244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Renee K
Phone: (360) 495-3244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HAC.FS.00000186 Washington
Ambulatory Health Care Facilities / Rural Health 261QR1300X HAC.FS.00000186 Washington

Profile Details

NPI number 1942554183
LBN Legal business name Grays Harbor County Public Hospital District No. 1
DBA Doing business as Summit Pacific Healthcare Clinic
Authorized official Jensen, Renee K
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2012
Last updated Nov 4th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942554183 NPPES
Washington MEDICAID 7103815
Washington Other AB18052

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