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GRAYS HARBOR COUNTY
NPI 1285447938
Clinic/Center - Prison Health in Montesano, WA

Active since January 28, 2025CLIA 50D2201131 · Waiver
100 W. BROADWAY AVENUE, SUITE 3, MONTESANO, WA 98563(360) 249-3711(360) 249-3722 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grays Harbor County NPPES

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

GRAYS HARBOR COUNTY (NPI 1285447938), doing business as Grays Harbor County Jail Medical, is a healthcare organization registered as a prison health in Montesano, Washington and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Vickie Raines, Grays Harbor County Commissioner, as its authorized official.

NPPES Registry Identity

NPI1285447938
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameGRAYS HARBOR COUNTY
Location Address100 W. BROADWAY AVENUE, SUITE 3Montesano, WA 98563
Mailing Address100 W. Broadway Avenue, Suite 3Montesano, WA 98563 · (360) 249-3711 · Fax (360) 249-3722
Phone(360) 249-3711
Fax(360) 249-3722
Organization SubpartNo
Authorized OfficialVickie RainesGrays Harbor County Commissioner · (360) 249-3711
Enumeration DateJanuary 28, 2025
✔ NPI 1285447938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
Also ListedFamily MedicineTaxonomy 207Q00000X
100 W. BROADWAY AVENUE, Montesano, WA 98563
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Other Names 1

Doing Business AsGrays Harbor County Jail Medical

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

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 50D2201131

Grays Harbor County Sheriff's Office · Montesano, WA
Active · expires Apr 4, 2028
CLIA Number50D2201131
Laboratory TypePrison
Certificate Effective DateNovember 18, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBobbie Berkey
Laboratory Phone(360) 249-3711
Laboratory LocationGrays Harbor County Sheriff's Office100 W Broadway Ste 3, Montesano, WA 98563
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Grays Harbor County's NPI number?

The NPI number for Grays Harbor County is 1285447938. It was assigned to this organization in the NPPES registry on January 28, 2025. The provider is doing business as Grays Harbor County Jail Medical.

Where is Grays Harbor County located?

Grays Harbor County is located at 100 W. Broadway Avenue Suite 3, Montesano, WA 98563. The listed phone number is (360) 249-3711.

What is Grays Harbor County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

Does Grays Harbor County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2201131) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grays Harbor County was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.