PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (NPI# 1902074776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902074776 |
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 |
Practice Telephone | 3606423181 |
Practice Fax Number | 3606426309 |
Mailing Telephone | 3606423181 |
Mailing Fax Number | 3606426309 |
Enumeration Date | 2008-02-14 |
Last Update Date | 2019-03-12 |
Authorized Official Name | LARRY COHEN (CEO) |
Authorized Official Telephone | 3606426300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | HO79 | WA | Hospital Units |
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 |
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 |
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 |
Street Address |
174 1ST AVENUE NORTH |
City | ILWACO |
State | WA |
Zip Code | 98624-0258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295771376 | Public Hospital District 3 of Pacific County | Clinic/Center | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2006-06-20 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174697353 | Tri-state Memorial Hospital | Medicare Defined Swing Bed Unit | 1221 Highland Avenue, Clarkston, WA 99403 | 2006-11-20 |
1033139431 | Kittitas County Public Hospital Dist 1 | Medicare Defined Swing Bed Unit | 603 S. Chestnut St., Ellensburg, WA 98926 | 2006-07-20 |
1225033814 | Sunnyside Community Hospital Association | Medicare Defined Swing Bed Unit | 1016 Tacoma Ave, Sunnyside, WA 98944 | 2005-06-20 |
1639778202 | Public Hospital District No 1 of Mason County | Medicare Defined Swing Bed Unit | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2020-10-23 |
1568899698 | Peacehealth United General Medical Center | Medicare Defined Swing Bed Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-10-03 |
1134371628 | Providence Health & Services - Washington | Medicare Defined Swing Bed Unit | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
1447402839 | Providence Health & Services - Wa | Medicare Defined Swing Bed Unit | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
1417105107 | Enumclaw Regional Hospital Association | Medicare Defined Swing Bed Unit | 1455 Battersby Ave, Enumclaw, WA 98022-3634 | 2008-09-05 |
1750554366 | Grays Harbor County Public Hospital District No 1 | Medicare Defined Swing Bed Unit | 600 E. Main Street, Elma, WA 98541 | 2008-04-04 |
1194929471 | Public Hospital District No 4 King County Wa | Medicare Defined Swing Bed Unit | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-12 |
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.