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OCEAN BEACH MEDICAL GROUP -OCEAN PARK
NPI 1417482191
Clinic/Center - Rural Health in Ocean Park, WA

Active since May 01, 2017CLIA 50D2141965 · Waiver
1501 BAY AVE, SUITE 201, OCEAN PARK, WA 98640(360) 642-3747 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ocean Beach Medical Group -ocean Park NPPES

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

OCEAN BEACH MEDICAL GROUP -OCEAN PARK (NPI 1417482191) is a healthcare organization registered as a rural health in Ocean Park, Washington and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Larry Cohen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417482191
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
Location Address1501 BAY AVE, SUITE 201Ocean Park, WA 98640-4203
Mailing AddressPo Box NIlwaco, WA 98624-0319
Phone(360) 642-3747
Organization SubpartNo
Authorized OfficialLarry CohenCeo · (360) 642-3181
Enumeration DateMay 1, 2017
Last NPPES UpdateMarch 12, 2019
✔ NPI 1417482191 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 · HAC.FS00000079
1501 BAY AVE, Ocean Park, WA 98640
Open in Google Maps ↗

Other Names 1

Doing Business AsOcean Beach Medical Group -ocean Park

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 50D2141965

Ocean Beach Medical Group Ocean Park · Ocean Park, WA
Active · expires Apr 4, 2028
CLIA Number50D2141965
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 28, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMatthew Frank
Laboratory Phone(360) 642-3181
Laboratory LocationOcean Beach Medical Group Ocean Park1501 Bay Ave Ste 201, Ocean Park, WA 98640
CLIA data matches this NPI record on: Address Name Phone
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.

DR. ZACHERY CARL WILSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1501 BAY AVE
OCEAN PARK, WA 98640
Pacific County (360) 665-5181
DR. KRISTOPHER HENDERSON PHARM. D., B.S.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1501 BAY AVE
OCEAN PARK, WA 98640
Pacific County (360) 665-5181
PENINSULA PHARMACIES INC.
Pharmacy (Community/Retail Pharmacy)
1501 BAY AVE
OCEAN PARK, WA 98640
Pacific County (360) 665-5181
APRIL MCCUNE PA-C
Physician Assistant
1501 BAY AVE
OCEAN PARK, WA 98640
Pacific County (360) 642-6387
JAMES DOUGLAS BANNISTER RPH
Pharmacist
1501 BAY AVE
OCEAN PARK, WA 98640
Pacific County (360) 665-6137

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 Public Hospital District 3 Of Pacific County's NPI number?

The NPI number for Public Hospital District 3 Of Pacific County is 1417482191. It was assigned to this organization in the NPPES registry on May 1, 2017. The provider is doing business as Ocean Beach Medical Group -Ocean Park.

Where is Public Hospital District 3 Of Pacific County located?

Public Hospital District 3 Of Pacific County is located at 1501 Bay Ave Suite 201, Ocean Park, WA 98640. The listed phone number is (360) 642-3747.

What is Public Hospital District 3 Of Pacific County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Public Hospital District 3 Of Pacific County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2141965) 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 Public Hospital District 3 Of Pacific County accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Public Hospital District 3 Of Pacific County 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 Public Hospital District 3 Of Pacific County was last updated on March 12, 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.