GRAYS HARBOR COMMUNITY HOSPITAL (NPI# 1518337104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518337104 |
| Entity Type | Organization |
| Organization Name | GRAYS HARBOR COMMUNITY HOSPITAL |
| Other Organization Name | GHCH ABERDEEN EAST CLINIC |
| Practice Address |
1006 N H St Aberdeen WA 98520-2521 |
| Mailing Address |
915 Anderson Dr Aberdeen WA 98520-1006 |
| Practice Telephone | 3605376496 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | ANTONE J EEK (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 3605815495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 100366800 | 05 |
| Other Name | Type Code |
|---|---|
| GHCH Aberdeen East Clinic | Doing Business As Name - Organization |
| 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 |
| 1083084677 | Grays Harbor Community Hospital | Family Medicine | 319 E Pioneer Ave, Montesano, WA 98563-4601 | 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 |
1006 N H ST |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746905 | Kenneth I Hunt | Internal Medicine | 1006 N H St, Aberdeen, WA 98520-2535 | 2005-08-04 |
| 1275147704 | Rachel Zynda | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2020-09-02 |
| 1548881121 | Fatima Corbeta Gerard | Nurse Practitioner | 1006 N H St, Aberdeen, WA 98520-2521 | 2020-05-05 |
| 1578102539 | Seunghyun Ryoo | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-12-22 |
| 1053961391 | Bryana K Braykovich | Occupational Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-09-18 |
| 1073086146 | Christopher Jensen | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-01-10 |
| 1821573965 | Grays Harbor Community Hospital | Family Medicine | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-09-25 |
| 1093292690 | Tiffany Anne Macrina | Occupational Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-07-26 |
| 1144716341 | Katha Suzanne Gazda | Nurse Practitioner | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-07-11 |
| 1174015028 | Suzanne Howard | Physical Therapy Assistant | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861602500 | Clifford Matushin PC | Internal Medicine | 201 S Lloyd St Ste 140, Aberdeen, SD 57401-4519 | 2007-05-23 |
| 1942342928 | Stefan Anthony Eltgroth | Internal Medicine | 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 | 2007-02-13 |
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1295886307 | Kathleen Van De Walle Do PC | Internal Medicine | 1314 N Main St, Aberdeen, SD 57401-2032 | 2007-01-15 |
| 1043373905 | Hany G Bashandy Md Ps | Internal Medicine | 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 | 2006-12-19 |
| 1952410185 | Kathleen Elaine Vandewalle I | Internal Medicine | 1314 North Main Street, Aberdeen, SD 57401-2700 | 2006-08-30 |
| 1548283617 | Philip Gibbs | Internal Medicine | 611 North F St, Aberdeen, WA 98520 | 2006-07-26 |
| 1811932080 | Thomas H Lineberger | Internal Medicine | 1902c North Sandhills Blvd, Aberdeen, NC 28315-2347 | 2006-06-19 |
| 1205870136 | John Robert Fritz | Internal Medicine | 1228 18th Ave Ne, Aberdeen, SD 57401-1535 | 2006-06-14 |
| 1346294873 | Nagy N Guirguis | Internal Medicine | 301 Church St, Aberdeen, NJ 07747-1554 | 2006-05-20 |
| Find all providers in ABERDEEN | ||||
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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.