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Contact Information

GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
600 E. MAIN STREET
ELMA, WA98541
 Phone: 360-495-3244
 Fax: 360-495-4274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medicare Defined Swing Bed Unit

275N00000X A0[7] Hospital-Swing Bed Approved
Indicates primary specialty

NPI Profile & details for GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1

NPI # 1750554366
LBN Legal business name GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official RENEE JENSEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2008
Last updated 01/24/2013 - About 13 years ago
Identifiers
WA License # H-186
WA Medicaid 3147709
WA Medicaid 7257108
WA Other 8903272 CRIME VICTIMS
WA Other 18090 L&I ER DOC NUMBER
WA Other 18091 L&I ER FACILITY
WA Other G000800088 MEDICARE PRO FEE
WA Other QMXPR0048030 MOLINA H/O
WA Other 135 PREMERA
WA Other CD1667 RAILROAD MEDICARE
WA Other GR6577 REGENCE BLUE SHEILD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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