PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (NPI# 1417482191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417482191 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY |
| Other Organization Name | OCEAN BEACH MEDICAL GROUP -OCEAN PARK |
| Practice Address |
1501 Bay Ave Suite 201 Ocean Park WA 98640-4203 |
| Mailing Address |
Po Box N Ilwaco WA 98624-0319 |
| Practice Telephone | 3606423747 |
| Enumeration Date | 2017-05-01 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
HAC.FS00000079 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ocean Beach Medical Group -Ocean Park | 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 |
| 1295771376 | Public Hospital District 3 of Pacific County | Clinic/Center | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2006-06-20 |
| 1639165905 | Public Hospital District 3 of Pacific County | Clinic/Center | 176 1st Avenue North, Iiwaco, WA 98624-0319 | 2005-09-22 |
| 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 |
1501 BAY AVE SUITE 201 |
| City | OCEAN PARK |
| State | WA |
| Zip Code | 98640-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689756660 | Jeffrey Shane Harrell | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2006-10-19 |
| 1689220360 | Zachery Carl Wilson | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640-4203 | 2019-08-17 |
| 1992830137 | James Douglas Bannister | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2007-02-21 |
| 1770665754 | Peninsula Pharmacies Inc. | Pharmacy | 1501 Bay Ave, Ocean Park, WA 98640-4203 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245726694 | Danielle Rene Glover-cloutier | Nurse Practitioner | 21610 Pacific Highway, Ocean Park, WA 98640 | 2018-07-09 |
| 1225044456 | Terri Miller | Registered Nurse | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-07-31 |
| 1699749432 | Pacific County Fire Protection District 1 | Ambulance | 26109 Ridge Ave, Ocean Park, WA 98640 | 2006-02-16 |
| 1518338714 | Katherine Lindley | Nurse Practitioner | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2015-10-13 |
| 1215355185 | Tobi N Thaller | Family Medicine | 1501 Bay Ave Ste 201, Ocean Park, WA 98640 | 2014-03-28 |
| 1144550773 | Tatiana Trott | Dentist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2010-01-04 |
| 1750408969 | Thomas R Geha | Acupuncturist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2007-03-23 |
| 1891856142 | Cowlitz Family Health Center | Clinic/Center | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-12-12 |
| 1225300213 | Free By The Sea At Sunset View Freedom Center | Substance Abuse Rehabilitation Facility | 25517 Park Ave., Ocean Park, WA 98640-0399 | 2012-02-06 |
| 1033201322 | Kevin P Mcginley | Social Worker | 20701 Crane Pl, Ocean Park, WA 98640-3110 | 2006-09-28 |
| Find all providers in zip 98640 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN PARK |
| Zip Code | 98640 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY.
| 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.