PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (NPI# 1295771376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295771376 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY |
| Other Organization Name | OCEAN BEACH HOSPITAL |
| Practice Address |
174 1st Avenue North Ilwaco WA 98624-0258 |
| Mailing Address |
Po Box H Ilwaco WA 98624-0258 |
| Practice Telephone | 3606423181 |
| Practice Fax Number | 3606426309 |
| Mailing Telephone | 3606423181 |
| Mailing Fax Number | 3606426309 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | LARRY COHEN (CEO) |
| Authorized Official Telephone | 3606423181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
H-079 | WA | Ambulatory Health Care Facilities |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DOH MED. TEST LICENSE | MT0804 | 01 |
| WA | STATE OF WA DOH LICENSE | H-079 | 01 |
| WA | 3627502 | 05 |
| Other Name | Type Code |
|---|---|
| Ocean Beach Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1639165905 | Public Hospital District 3 of Pacific County | Clinic/Center | 176 1st Avenue North, Iiwaco, WA 98624-0319 | 2005-09-22 |
| 1417482191 | Public Hospital District 3 of Pacific County | Clinic/Center | 1501 Bay Ave, Suite 201, Ocean Park, WA 98640-4203 | 2017-05-01 |
| 1518334523 | Public Hospital District 3 of Pacific County | Family Medicine | 101 1st Ave S, Ilwaco, WA 98624-9100 | 2015-08-25 |
| 1881858140 | Public Hospital District 3 of Pacific County | Clinic/Center | 21 N Valley Rd, Naselle, WA 98638-8536 | 2008-07-16 |
| 1902074776 | Public Hospital District 3 of Pacific County | Medicare Defined Swing Bed Unit | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2008-02-14 |
| Street Address |
174 1ST AVENUE NORTH |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-0258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902074776 | Public Hospital District 3 of Pacific County | Medicare Defined Swing Bed Unit | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2008-02-14 |
| 1487767059 | Kim York Smith | General Practice | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| Find all providers in zip 98624 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157640 | University of Washington | General Acute Care Hospital | 140 W Florentia St Apt C, Seattle, WA 98119-2393 | 2016-07-29 |
| 1396199824 | Seattle Extracorporeal | General Acute Care Hospital | 925 Seneca Street, Seattle Extracorporeal, Seattle, WA 98101 | 2016-04-21 |
| 1487917233 | Peacehealth Peace Island Medical Center | General Acute Care Hospital | 1117 Spring Street, Friday Harbor, WA 98250-7303 | 2012-06-18 |
| 1699914226 | 633 | General Acute Care Hospital | 7244 237th Ave Ne, Redmond, WA 98053-7914 | 2009-02-04 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
| 1508911645 | Okanogan Douglas County Hospital Dist 1 | General Acute Care Hospital | 537 West Main, Brewster, WA 98812 | 2007-01-25 |
| 1801944038 | Us Veterns Hospital Pharmacy | General Acute Care Hospital | 611 Sw 1st Ct, Battle Ground, WA 98604-8424 | 2007-01-05 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.