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LEWIS COUNTY HOSPITAL DISTRICT NO. 1 NPI 1427083815


NPI Information

NPI: 1427083815
Provider Name: LEWIS COUNTY HOSPITAL DISTRICT NO. 1

Other Name: RANDLE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
108 KINDLE ROAD
RANDLE, WA
ZIP 98377
Phone: (360) 497-3333
Get Directions

LEWIS COUNTY HOSPITAL DISTRICT NO. 1 is a family medicine in Randle, 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 1427083815. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 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) 496-3647.

The enumeration date for this NPI number is 7/12/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17047129MEDICAIDWASHINGTON
20101851OTHERWASHINGTONLABOR AND INDUSTRIES

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: 4/28/2024

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