LEWIS COUNTY HOSPITAL DIST #1 – NPI #1649324674
Clinic/Center

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

LEWIS COUNTY HOSPITAL DIST #1 is an AHC clinic located in MORTON, WA. NPPES has assigned the NPI number 1649324674 to LEWIS COUNTY HOSPITAL DIST #1 on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LEWIS COUNTY HOSPITAL DIST #1 is also known by the name PHYSICAL THERAPY GROUP. The primary taxonomy selected by this provider is 261QC0050X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Critical Access Hospital

The NPI profile was previously updated about 18 years ago on Apr 30, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEWIS COUNTY HOSPITAL DIST #1 below.

NPI Profile for
LEWIS COUNTY HOSPITAL DIST #1

NPI Number
1649324674
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEWIS COUNTY HOSPITAL DIST #1
Other Name: PHYSICAL THERAPY GROUP
Primary location
521 ADAMS AVENUE
MORTON, WA 98356
Phone: (360) 496-5112 Fax:
Mailing address
PO BOX 508
MOSSYROCK, WA 98564-0508
Phone: (360) 496-3702 Fax: (360) 983-3098
Organization Subpart
No
Authorized Official
TIM COURNYER
CFO
Phone: (360) 496-3701
Updated
Identifiers

Identifiers for LEWIS COUNTY HOSPITAL DIST #1

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7135205
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC0050X
- Clinic/Center / Critical Access Hospital (Primary)
WA H173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.