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LEWIS COUNTY HOSPITAL DISTRICT NO 1 NPI 1184908410


NPI Information

NPI: 1184908410
Provider Name: LEWIS COUNTY HOSPITAL DISTRICT NO 1

Doing Business As: ARBOR HEALTH MOSSYROCK CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D0921531

Address:
745 WILLIAMS STREET
MOSSYROCK, WA
ZIP 98564
Phone: (360) 983-8990
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LEWIS COUNTY HOSPITAL DISTRICT NO 1 is a family medicine in Mossyrock, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEWIS COUNTY HOSPITAL DISTRICT NO 1 NPI is 1184908410. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arbor Health Mossyrock Clinic.

The provider's business location address is:

745 WILLIAMS STREET
MOSSYROCK, WA
ZIP 98564
Phone: (360) 983-8990
Fax: (360) 983-8995

The provider's authorized official is Richard Boggess .
The authorized official title is Administrator and has the following contact phone number (360) 496-3525.

The CLIA number assigned to this NPI record is 50D0921531 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2011 and was last updated on 2/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.