FORKS FAMILY MEDICAL CLINIC
NPI 1285290338
Clinic/Center - Rural Health in Forks, WA
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
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Forks Family 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 Forks Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. 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 50D2170158
Forks Family Medical Clinic · Forks, 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 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.
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). Of these, 1 practice at this address and 6 within 10 miles. 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 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 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 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.
# Forks Family Medical Clinic · NPI 1285290338
Rural Health organization in Forks, Washington. Organization record, active in the CMS NPPES registry since May 14, 2019.
## Identity
- **NPI:** 1285290338 (Entity type: Organization)
- **Enumerated:** May 14, 2019
- **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 No 1)
- **Authorized official:** Carie Micheau, COMPLIANCE OFFICER
## Practice location
- **Address:** 461 G ST, Forks, WA 98331-9025
- **Phone:** (360) 374-6271 · **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); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1285290338/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285290338) · Data from the CMS NPPES public registry.