GRAYS HARBOR COMMUNITY HOSPITAL (NPI# 1083084677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083084677 |
Entity Type | Organization |
Organization Name | GRAYS HARBOR COMMUNITY HOSPITAL |
Other Organization Name | GHCH ABERDEEN F STREET CLINIC |
Practice Address |
319 E Pioneer Ave Montesano WA 98563-4601 |
Mailing Address |
915 Anderson Dr Aberdeen WA 98520-1006 |
Practice Telephone | 3602493300 |
Enumeration Date | 2015-09-25 |
Last Update Date | 2019-10-14 |
Authorized Official Name | NIALL FOLEY (CFO) |
Authorized Official Telephone | 3605375145 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 100366800 | 05 |
Other Name | Type Code |
---|---|
GHCH Aberdeen F Street Clinic | Doing Business As Name - Organization |
GHCH Montesano Clinic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
615 N F St, Aberdeen, WA 98520 | 3605334599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376028373 | Grays Harbor Community Hospital | Family Medicine | 815 K St, Hoquiam, WA 98550-3705 | 2018-09-26 |
1821573965 | Grays Harbor Community Hospital | Family Medicine | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-09-25 |
1275031304 | Grays Harbor Community Hospital | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2018-01-23 |
1144676487 | Grays Harbor Community Hospital | General Acute Care Hospital | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2016-05-05 |
1518337104 | Grays Harbor Community Hospital | Family Medicine | 1006 N H St, Aberdeen, WA 98520-2521 | 2015-09-25 |
1134597693 | Grays Harbor Community Hospital | Family Medicine | 815 K St, Hoquiam, WA 98550 | 2015-09-14 |
1184977654 | Grays Harbor Community Hospital | General Acute Care Hospital | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2012-10-22 |
1598991499 | Grays Harbor Community Hospital | Rehabilitation Unit | 801 N Montesano St, Suite 300, Westport, WA 98595-9999 | 2009-06-05 |
1073763314 | Grays Harbor Community Hospital | Rehabilitation Unit | 575 E Main St, Building 1 Suiet A, Elma, WA 98541-9551 | 2008-09-23 |
1720121650 | Grays Harbor Community Hospital | General Acute Care Hospital | 915 Anderson Drive, Aberdeen, WA 98520 | 2007-02-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | GRAYS HARBOR COMMUNITY HOSPITAL AUXILIARY | 915 Anderson Dr, Aberdeen, WA 98520 |
Street Address |
319 E PIONEER AVE |
City | MONTESANO |
State | WA |
Zip Code | 98563-4601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598720492 | Patrick Edward Henderson | Otolaryngology | 319 E Pioneer Ave, Montesano, WA 98563 | 2006-04-20 |
1891312526 | Jacqueline Flowers | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-06-29 |
1649800426 | Kerbie Salvador A Barrantes | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2020-01-22 |
1275031304 | Grays Harbor Community Hospital | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2018-01-23 |
1073939427 | Kgp LLC | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2014-03-10 |
1790109825 | Kerry Peterson | Nurse Practitioner | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2014-02-10 |
1346521473 | John E. Eiland Do, Facoog, Ps | Obstetrics & Gynecology | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2011-09-02 |
1023274370 | Grant W Jackson Md Ps | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2008-08-05 |
1306901475 | Grant Wells Jackson | Emergency Medicine | 319 E Pioneer Ave, Grant W Jackson Md Ps, Montesano, WA 98563-4601 | 2006-12-27 |
1588730337 | John E Eiland Jr. | Obstetrics & Gynecology | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 2006-11-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043869993 | Schuyler Rose | Physical Therapist | 800 N Medcalf Street, Montesano, WA 98563 | 2019-09-04 |
1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
1457913584 | Teresa Vansant | Licensed Practical Nurse | 800 N. Medcalf Street, Montesano, WA 98563 | 2019-06-28 |
1124599907 | Amanda D Heppner | Massage Therapist | 221 W. Wynooche Ave, Unit B, Montesano, WA 98563 | 2018-12-05 |
1841765641 | Mindy Ann Lewis | Nurse Practitioner | 319 East Pioneer Avenue, Montesano, WA 98563 | 2018-10-08 |
1346737145 | Sara Stange | Occupational Therapy Assistant | 800 Medcalf St., Montesano, WA 98563 | 2018-04-17 |
1811403751 | Gunter & Messick Dds Pllc | Dentist | 208 E. Broadway, Montesano, WA 98563 | 2017-12-14 |
1124493739 | Janet Hanson | Occupational Therapy Assistant | 800 Medcalf Street, Montesano, WA 98563 | 2015-12-08 |
1427420678 | Chona Lorico | Dietitian, Registered | 975 N Stephenson Dr, Montesano, WA 98563 | 2015-10-28 |
1558792697 | Kathleen Marie Schaeffer | Occupational Therapist | 1216 Fair View Lane East, Unit 1, Montesano, WA 98563 | 2013-11-27 |
Find all providers in zip 98563 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.