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ARBOR HEALTH MOSSYROCK CLINIC
NPI 1184908410
Family Medicine in Mossyrock, WA

Active since October 05, 2011CLIA 50D0921531 · Microscopy
745 WILLIAMS STREET, MOSSYROCK, WA 98564(360) 983-8990(360) 983-8995 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arbor Health Mossyrock Clinic NPPES

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

ARBOR HEALTH MOSSYROCK CLINIC (NPI 1184908410) is a healthcare organization registered as a family medicine in Mossyrock, Washington and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Richard Boggess, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184908410
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEWIS COUNTY HOSPITAL DISTRICT NO 1
Location Address745 WILLIAMS STREETMossyrock, WA 98564
Mailing AddressPo Box 1138Morton, WA 98356-0019 · (360) 496-3702 · Fax (360) 983-3098
Phone(360) 983-8990
Fax(360) 983-8995
Organization SubpartNo
Authorized OfficialRichard BoggessAdministrator · (360) 496-3525
Enumeration DateOctober 5, 2011
Last NPPES UpdateFebruary 11, 2019
✔ NPI 1184908410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
745 WILLIAMS STREET, Mossyrock, WA 98564
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Other Names 1

Doing Business AsArbor Health Mossyrock Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arbor Health Mossyrock Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Arbor Health Mossyrock Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Emergency Medicine14
Family Practice10
Certified Registered Nurse Anesthetist (CRNA)9
Nurse Practitioner8
Cardiovascular Disease (Cardiology)5
Clinical Social Worker2
Internal Medicine2
General Surgery1
3 other specialties3

Nearest to this location (20)

See all 54
Victoria Acosta, DO
Family Practice
NPI 1508217365
745 WILLIAMS ST
Mossyrock, WA 98564
(360) 983-8990
✔ PECOS✔ Accepts MedicareSame address
Don Allison, MD
Family Practice
NPI 1467439414
745 WILLIAMS ST
Mossyrock, WA 98564
(360) 983-8990
✔ PECOS✔ Accepts MedicareSame address
Quoc Ho, M.D.
Internal Medicine
NPI 1710278775
745 WILLIAMS ST
Mossyrock, WA 98564
(360) 983-8990
✔ PECOS✔ Accepts MedicareSame address
Heather Day, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326327958
521 ADAMS AVE
Morton, WA 98356
(360) 496-5112
✔ Accepts Medicare9.9 mi
Christopher Gordon, CRNA, DNAP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821710286
521 ADAMS AVE
Morton, WA 98356
(360) 496-5112
✔ Accepts Medicare9.9 mi
Georgi Grekoff, M.D.
Emergency Medicine
NPI 1538540828
521 ADAMS AVE
Morton, WA 98356
(360) 496-5112
✔ PECOS✔ Accepts Medicare9.9 mi
Garrett Peresko
Podiatry
NPI 1437648011
531 ADAMS AVE
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
Charles Anderson, MD
General Surgery
NPI 1952417925
521 ADAMS AVE
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
Mark Hansen, MD
Family Practice
NPI 1114013208
521 ADAMS AVE STE B
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
John Hines, D.O.
Family Practice
NPI 1629031950
521 ADAMS AVE STE B
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
Kevin Mccurry, M.D.
Emergency Medicine
NPI 1851489421
521 ADAMS AVE STE B
Morton, WA 98356
(360) 496-3601
✔ PECOS9.9 mi
Todd Nelson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740217389
521 ADAMS AVE
Morton, WA 98356
(360) 496-5112
9.9 mi
Fabiola Puga Duenas, MD
Family Practice
NPI 1912567397
521 ADAMS AVE STE B
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
Crystal Whitney, ARNP
Nurse Practitioner
NPI 1982227013
521 ADAMS AVE STE B
Morton, WA 98356
(360) 496-5145
✔ PECOS✔ Accepts Medicare9.9 mi
Ashley Roady, ARNP
Nurse Practitioner
NPI 1952942567
1292 S MARKET BLVD. STE 3
Chehalis, WA 98532
(360) 206-3937
✔ PECOS24 mi
Travis Podbilski, DO
Family Practice
NPI 1730538042
108 KINDLE RD
Randle, WA 98377
(360) 497-3333
✔ PECOS✔ Accepts Medicare27 mi
Marc Kranz, MD
Emergency Medicine
NPI 1891745881
1615 DELAWARE ST
Longview, WA 98632
(360) 414-2000
✔ PECOS✔ Accepts Medicare35 mi
Carolyn Price, LICSW
Clinical Social Worker
NPI 1770629594
13051 US HWY 12 STE 2
Packwood, WA 98561
(360) 496-3777
✔ PECOS✔ Accepts Medicare39 mi
Jason Whitney, ARNP FNP-C
Nurse Practitioner
NPI 1285274167
13051 US HWY 12 STE 2
Packwood, WA 98361
(360) 496-3777
✔ PECOS✔ Accepts Medicare39 mi
Matthew Berger, D.O.
Cardiovascular Disease (Cardiology)
NPI 1679884993
406-A BLACK HILLS LN SW
Olympia, WA 98502
(360) 754-1737
✔ PECOS✔ Accepts Medicare42 mi
See all 54 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0921531

Arbor Health Mossyrock Clinic · Mossyrock, WA
Active · expires Apr 4, 2028
CLIA Number50D0921531
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 28, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorQuoc W. Ho
Laboratory Phone(360) 983-8990
Laboratory LocationArbor Health Mossyrock Clinic745 Williams St PO Box 810, Mossyrock, WA 98564
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Lewis County Hospital District No 1's NPI number?

The NPI number for Lewis County Hospital District No 1 is 1184908410. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is doing business as Arbor Health Mossyrock Clinic.

Where is Lewis County Hospital District No 1 located?

Lewis County Hospital District No 1 is located at 745 Williams Street, Mossyrock, WA 98564. The listed phone number is (360) 983-8990.

What is Lewis County Hospital District No 1's specialty?

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

Is Lewis County Hospital District No 1 enrolled in Medicare?

Yes. Lewis County Hospital District No 1 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lewis County Hospital District No 1?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 11 Medicare specialties reassign their Medicare billing to Lewis County Hospital District No 1. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (14), Family Practice (10) and Certified Registered Nurse Anesthetist (CRNA) (9). Of these, 3 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lewis County Hospital District No 1 hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0921531) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lewis County Hospital District No 1 accept?

Health plans from Ambetter Health list Lewis County Hospital District No 1 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lewis County Hospital District No 1 was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.