CLALLAM BAY MEDICAL CLINIC
NPI 1235213034
Clinic/Center - Rural Health in Clallam Bay, WA
About Clallam Bay Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLALLAM BAY MEDICAL CLINIC (NPI 1235213034) is a healthcare organization registered as a rural health in Clallam Bay, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Starla D Daman, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted 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)
Clallam Bay Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Clallam Bay Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 36Source: 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 of Waiver 50D2154005
Clallam Bay Medical Clinic · Clallam Bay, WAFrequently 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 Clallam County Public Hospital District No 1's NPI number?
The NPI number for Clallam County Public Hospital District No 1 is 1235213034. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Clallam Bay Medical Clinic.
Where is Clallam County Public Hospital District No 1 located?
Clallam County Public Hospital District No 1 is located at 74 Bogachiel St, Clallam Bay, WA 98326. The listed phone number is (360) 963-2202.
What is Clallam County Public Hospital District No 1's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Clallam County Public Hospital District No 1 enrolled in Medicare?
Yes. Clallam County Public Hospital District No 1 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clallam County Public Hospital District No 1?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 13 Medicare specialties reassign their Medicare billing to Clallam County Public 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 Nurse Practitioner (7), Hospitalist (6) and Family Practice (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clallam County Public Hospital District No 1 hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2154005) 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 Clallam County Public Hospital District No 1 accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Clallam County Public 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 Clallam County Public Hospital District No 1 was last updated on December 14, 2016. 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.
# Clallam Bay Medical Clinic · NPI 1235213034
Rural Health organization in Clallam Bay, Washington. Organization record, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1235213034 (Entity type: Organization)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Clallam County Public Hospital District No 1
- **Organization subpart:** Yes (part of Clallam County Public Hospital District No1)
- **Authorized official:** Starla Daman, BILLING MANAGER
## Practice location
- **Address:** 74 BOGACHIEL ST, Clallam Bay, WA 98326
- **Phone:** (360) 963-2202 · **Fax:** (360) 374-9781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Hospitalist (6), Family Practice (4); [full list](https://npiprofile.com/npi/1235213034/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2016
- **Other identifiers:** Medicaid 7102122 (WA); Medicaid 7105315 (WA); Medicare OSCAR/certification 503975 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235213034) · Data from the CMS NPPES public registry.