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BOGACHIEL CLINIC
NPI 1285683052
Clinic/Center - Rural Health in Forks, WA

Active since May 09, 2006CLIA 50D0635043 · Microscopy
390 FOUNDERS WAY, FORKS, WA 98331(360) 374-6271(360) 374-9781 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 11, 2022, Dec 14, 2016, Aug 31, 2016 (3 updates tracked since 2016).

About Bogachiel Clinic NPPES

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

BOGACHIEL CLINIC (NPI 1285683052) is a healthcare organization registered as a rural health in Forks, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Heidi Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285683052
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Location Address390 FOUNDERS WAYForks, WA 98331-9062
Mailing Address390 Founders WayForks, WA 98331 · (360) 374-6271 · Fax (360) 374-9781
Phone(360) 374-6271
Fax(360) 374-9781
Organization SubpartYes
Authorized OfficialHeidi AndersonCeo · (360) 374-6271
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1285683052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in WA · H-054
390 FOUNDERS WAY, Forks, WA 98331
Open in Google Maps ↗

Other Names 1

Doing Business AsBogachiel Clinic

Other Identifiers 2

Medicaid7047459WA
Medicaid7113442WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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)

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

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Bogachiel 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

Nurse Practitioner7
Hospitalist6
Family Practice4
Mental Health Counselor4
Certified Registered Nurse Anesthetist (CRNA)3
Cardiovascular Disease (Cardiology)2
Internal Medicine2
Interventional Cardiology2
5 other specialties6

Nearest to this location (20)

See all 36
Melissa Portnoy, ARNP
Nurse Practitioner
NPI 1144009119
390 FOUNDERS WAY
Forks, WA 98331
(360) 374-6998
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Yeater, ARNP
Nurse Practitioner
NPI 1093367005
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts Medicare0.4 mi
Brendan Cooney
Mental Health Counselor
NPI 1104605039
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-5011
✔ PECOS0.5 mi
Vernon Rondeau
Nurse Practitioner
NPI 1700382843
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts Medicare0.5 mi
Sara Aguirre
Nurse Practitioner
NPI 1700585601
530 BOGACHIEL WAY
Forks, WA 98331
(270) 505-5519
✔ PECOS0.5 mi
John Shima, MD
Internal Medicine
NPI 1598706103
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts Medicare0.5 mi
Joseph Reis, APNP
Nurse Practitioner
NPI 1376583674
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare45 mi
Bradley Pederson, DPM
Podiatry
NPI 1598851081
630 E 8TH ST
Port Angeles, WA 98362
(360) 457-1772
✔ PECOS✔ Accepts Medicare46 mi
Kirk Cole, MD
Diagnostic Radiology
NPI 1184692394
939 CAROLINE ST
Port Angeles, WA 98362
(360) 417-7000
✔ PECOS✔ Accepts Medicare46 mi
Shelly Dueber, D.O.
Family Practice
NPI 1982786968
801 N. MONTESANO
Westport, WA 98595
(360) 268-0195
✔ PECOS74 mi
Matthew Voorsanger, MD
Cardiovascular Disease (Cardiology)
NPI 1073506143
22180 OLYMPIC COLLEGE WAY NW
Poulsbo, WA 98370
(360) 373-2547
✔ PECOS✔ Accepts Medicare81 mi
Steven Giss, MD, FACS
General Surgery
NPI 1538143292
11511 CANTERWOOD BLVD STE 140
Gig Harbor, WA 98332
(253) 530-2940
✔ PECOS✔ Accepts Medicare92 mi
Lance Bear, M.D.
Orthopedic Surgery
NPI 1952306037
11511 CANTERWOOD BLVD NW STE 205
Gig Harbor, WA 98332
(253) 530-2663
✔ PECOS✔ Accepts Medicare92 mi
Carey Yuen, MD
Hospitalist
NPI 1871609958
700 LILLY RD NE
Olympia, WA 98506
(360) 923-7000
✔ PECOS✔ Accepts Medicare95 mi
Fahad Younas, M.D.
Interventional Cardiology
NPI 1447407465
3620 ENSIGN RD NE STE B
Olympia, WA 98506
(206) 520-5000
✔ PECOS✔ Accepts Medicare95 mi
Haroon Yousaf, MD
Interventional Cardiology
NPI 1871731364
3620 ENSIGN RD NE STE B
Olympia, WA 98506
(360) 884-0052
✔ PECOS✔ Accepts Medicare95 mi
Faron Bauer, MD
Family Practice
NPI 1881613230
4700 POINT FOSDICK DR NW STE 102
Gig Harbor, WA 98335
(253) 853-2050
✔ PECOS✔ Accepts Medicare96 mi
Clinton Bliss, M.D.
Family Practice
NPI 1033228655
4200 AURORA AVE N
Seattle, WA 98103
(206) 620-0611
✔ PECOS✔ Accepts Medicare97 mi
Wade Austin-Getsfrid, MD MPH
Hospitalist
NPI 1609079664
201 16TH AVE E
Seattle, WA 98112
(206) 326-3000
✔ PECOS✔ Accepts Medicare99 mi
Stanford Tran, M.D.
Family Practice
NPI 1366895732
1701 18TH AVE S
Seattle, WA 98144
(206) 731-7210
✔ PECOS✔ Accepts Medicare100 mi
See all 36 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) 50D0635043

Bogachiel Clinic · Forks, WA
Active · expires Apr 4, 2028
CLIA Number50D0635043
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 5, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFaron J. Bauer
Laboratory Phone(360) 374-6998
Laboratory LocationBogachiel Clinic390 Founders Way, Forks, WA 98331
CLIA data matches this NPI record on: Address Name
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 Clallam County Public Hospital District No 1's NPI number?

The NPI number for Clallam County Public Hospital District No 1 is 1285683052. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Bogachiel Clinic.

Where is Clallam County Public Hospital District No 1 located?

Clallam County Public Hospital District No 1 is located at 390 Founders Way, 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 for Provider-Performed Microscopy Procedures (PPMP) (number 50D0635043) 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 January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.