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SUMMIT PACIFIC MEDICAL CENTER
NPI 1043730021
Family Medicine in Elma, WA

Active since June 21, 2017CLIA Certified · 2 labs
600 E MAIN ST, ELMA, WA 98541(360) 346-2222(360) 346-2157 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Pacific Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT PACIFIC MEDICAL CENTER (NPI 1043730021) is a healthcare organization registered as a family medicine in Elma, Washington and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists Will Callicoat, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043730021
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES
Location Address600 E MAIN STElma, WA 98541-9560
Mailing Address600 E Main StElma, WA 98541-9560 · (360) 346-2299 · Fax (360) 346-2157
Phone(360) 346-2222
Fax(360) 346-2157
Organization SubpartNo
Authorized OfficialWill CallicoatCfo · (360) 346-2222
Enumeration DateJune 21, 2017
✔ NPI 1043730021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 600424913
Definition
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.
600 E MAIN ST, Elma, WA 98541
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Other Names 1

Doing Business AsSummit Pacific Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0637179

Summit Pacific Medical Center · Elma, WA
Active · expires Apr 4, 2028
CLIA Number50D0637179
Laboratory TypeHospital
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKelly A. Lloyd
Laboratory Phone(360) 346-2156
Laboratory LocationSummit Pacific Medical Center600 E Main St, Elma, WA 98541
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 50D2211457

Summit Pacific Health Clinic · Elma, WA
Active · expires Apr 4, 2028
CLIA Number50D2211457
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 27, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKelly Lloyd
Laboratory Phone(360) 346-2222
Laboratory LocationSummit Pacific Health Clinic579 E Main St, Elma, WA 98541
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDE OUELLETTE LMHC
Counselor (Mental Health)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
KARLYNN STUDLEY MD
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2239
DR. BERNADETTE LOUISE HUARD MD
Psychiatry & Neurology (Psychiatry)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. GREGORY HANNABAS M.D.
Family Medicine
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
JOSEPH HANS KOHN ARNP-C
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. ANDREW J BURTON PHARMD
Pharmacist
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2238
JOSEPH LEWIS MCFADDEN ARNP
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
ETHAN NOBLE
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grays Harbor County Public Hospital District No 1 Health Homes's NPI number?

The NPI number for Grays Harbor County Public Hospital District No 1 Health Homes is 1043730021. It was assigned to this organization in the NPPES registry on June 21, 2017. The provider is doing business as Summit Pacific Medical Center.

Where is Grays Harbor County Public Hospital District No 1 Health Homes located?

Grays Harbor County Public Hospital District No 1 Health Homes is located at 600 E Main St, Elma, WA 98541. The listed phone number is (360) 346-2222.

What is Grays Harbor County Public Hospital District No 1 Health Homes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Grays Harbor County Public Hospital District No 1 Health Homes hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Grays Harbor County Public Hospital District No 1 Health Homes was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.