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CAH501304-01 Grays Harbor County Public Hospital District No. 1 DBA Summit Pacific Medical Center (Active)
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Main Details
Name
Grays Harbor County Public Hospital District No. 1 DBA Summit Pacific Medical Center
Subdivision Name
Summit Pacific Urgent Care Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501304-01
Medicare Provider Number
501304
Outpatient Facility Provider Number
508560
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/11/2014
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Grays Harbor County Public Hospital District No 1
Josh Martin, CEO
(360) 346-2244
Primary Contact
Summit Pacific Medical Center
Andrew Joseph Burton, Pharmacy Director
(360) 346-2238
Addresses
Street Address
600 E MAIN ST
ELMA, WA 98541-9353
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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FINAL ATTEMPT - 2nd Attempt - Please explain the reason for the name change? Are there additional services being added to this site? Please reply in the comment section and return. Thank you.
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