PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (NPI# 1518334523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518334523 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY |
| Other Organization Name | OCEAN BEACH MEDICAL GROUP ILWACO |
| Practice Address |
101 1st Ave S Ilwaco WA 98624-9100 |
| Mailing Address |
Po Box N Ilwaco WA 98624-0319 |
| Practice Telephone | 3606422662 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | LARRY COHEN (CEO) |
| Authorized Official Telephone | 3606426301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | H079 | WA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
H079 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H079 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ocean Beach Medical Group Ilwaco | 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 |
| 1417482191 | Public Hospital District 3 of Pacific County | Clinic/Center | 1501 Bay Ave, Suite 201, Ocean Park, WA 98640-4203 | 2017-05-01 |
| 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 |
101 1ST AVE S |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285771774 | Susan C Freese | Pharmacist | 101 1st Ave S, Ilwaco, WA 98624-0167 | 2007-01-31 |
| 1104423870 | Peninsula Pharmacies Inc. | Pharmacy | 101 1st Ave S, Ilwaco, WA 98624-9100 | 2020-10-06 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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 |
| 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 |
| 1780897074 | Jefferson County Public Hospital District No 2 | Clinic/Center | 294843 State Highway 101, Quilcene, WA 98376 | 2007-05-07 |
| 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.