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FORKS FAMILY MEDICAL CLINIC
NPI 1285290338
Clinic/Center - Rural Health in Forks, WA

Active since May 14, 2019CLIA 50D2170158 · Waiver
461 G ST, FORKS, WA 98331(360) 374-6271(360) 374-9781 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2019, May 14, 2019 (2 updates tracked since 2019).

About Forks Family Medical Clinic NPPES

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

FORKS FAMILY MEDICAL CLINIC (NPI 1285290338) is a healthcare organization registered as a rural health in Forks, Washington and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Carie Micheau, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1285290338
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Location Address461 G STForks, WA 98331-9025
Mailing Address530 Bogachiel WayForks, WA 98331-9120 · (360) 374-6271 · Fax (360) 374-9781
Phone(360) 374-6271
Fax(360) 374-9781
Organization SubpartYes
Authorized OfficialCarie MicheauCompliance Officer · (360) 374-6271
Enumeration DateMay 14, 2019
Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration
✔ NPI 1285290338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
461 G ST, Forks, WA 98331
Open in Google Maps ↗

Other Names 1

Doing Business AsForks Family Medical 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 Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 50D2170158

Forks Family Medical Clinic · Forks, WA
Active · expires Apr 4, 2028
CLIA Number50D2170158
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 5, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFaron J. Bauer
Laboratory Phone(360) 374-3280
Laboratory LocationForks Family Medical Clinic461 G St, Forks, WA 98331
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

WILBERT DANIEL JAMES M.D.
Family Medicine
461 G ST
FORKS, WA 98331
Clallam County (360) 374-6224
FAMILY MEDICAL CENTER OF FORKS, INC, PS
Family Medicine
461 G ST
FORKS, WA 98331
Clallam County (360) 374-6224
HARRISON MEDICAL CENTER
Clinic/Center (Rural Health)
461 G ST
FORKS, WA 98331
Clallam County (360) 374-6224
DR. STEPHEN H KRIEBEL M.D.
Family Medicine
461 G ST
FORKS, WA 98331
Clallam County (360) 374-6224
MS. LAURA ANN KRIPINSKI ARNP
Nurse Practitioner (Family)
461 G ST
FORKS, WA 98331
Clallam County (360) 374-6224

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 Clallam County Public Hospital District No 1's NPI number?

The NPI number for Clallam County Public Hospital District No 1 is 1285290338. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Forks Family Medical Clinic.

Where is Clallam County Public Hospital District No 1 located?

Clallam County Public Hospital District No 1 is located at 461 G St, Forks, WA 98331. The listed phone number is (360) 374-6271.

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.

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

Yes. A Certificate of Waiver (number 50D2170158) 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 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 August 9, 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.