LEWIS COUNTY HOSPITAL DISTRICT NO. 1 NPI 1689604563

NPI Information

NPI: 1689604563
Provider Name: LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: ARBOR HEALTH RANDLE CLINIC
CLIA Number: 50D0698394
Address: 108 KINDLE ROAD
RANDLE, WA
ZIP 98377
Phone: (360) 497-3333

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NPI Details

LEWIS COUNTY HOSPITAL DISTRICT NO. 1 is a rural health clinic center in Randle, WA. LEWIS COUNTY HOSPITAL DISTRICT NO. 1 NPI is 1689604563. The provider is registered as an organization entity type.
The provider Is Doing Business As Arbor Health Randle Clinic.

The provider's business location address is:

108 KINDLE ROAD
RANDLE, WA
ZIP 98377
Phone: (360) 497-3333
Fax: (360) 497-5073

The provider's authorized official is Richard Boggess .
The authorized official title is Cfo and has the following contact phone number (360) 496-5112.

The CLIA number assigned to this NPI record is 50D0698394 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/20/2019.

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
1	261QR1300X	Clinic/Center	Rural Health	H173	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DB0062	OTHER	WASHINGTON	RAILROAD MEDICARE
2	7111230	MEDICAID	WASHINGTON

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: 3/30/2025

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