OCEAN BEACH MEDICAL GROUP -OCEAN PARK
NPI 1417482191
Clinic/Center - Rural Health in Ocean Park, WA
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ocean Beach Medical Group -ocean Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Ocean Beach Medical Group -Ocean Park, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 30Centralia, WA 98531
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 of Waiver 50D2141965
Ocean Beach Medical Group Ocean Park · Ocean Park, 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 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.
Is Public Hospital District 3 Of Pacific County enrolled in Medicare?
Yes. Public Hospital District 3 Of Pacific County is registered in the Medicare PECOS enrollment system.
When is Public Hospital District 3 Of Pacific County's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Public Hospital District 3 Of Pacific County?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 11 Medicare specialties reassign their Medicare billing to Public Hospital District 3 Of Pacific County. 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 (8), Emergency Medicine (6) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ambetter Health and 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.
# Ocean Beach Medical Group -Ocean Park · NPI 1417482191
Rural Health organization in Ocean Park, Washington. Organization record, active in the CMS NPPES registry since May 1, 2017.
## Identity
- **NPI:** 1417482191 (Entity type: Organization)
- **Enumerated:** May 1, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Public Hospital District 3 Of Pacific County
- **Organization subpart:** No
- **Authorized official:** Larry Cohen, CEO
## Practice location
- **Address:** 1501 BAY AVE, SUITE 201, Ocean Park, WA 98640-4203
- **Phone:** (360) 642-3747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Emergency Medicine (6), Certified Registered Nurse Anesthetist (CRNA) (3); 1 practice at this address; [full list](https://npiprofile.com/npi/1417482191/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417482191) · Data from the CMS NPPES public registry.