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SUMMIT PACIFIC WELLNESS CLINIC
NPI 1811025216
Clinic/Center - Rural Health in Elma, WA

Active since February 28, 2007CLIA 50D2179849 · Waiver
610 E MAIN STREET, ELMA, WA 98541(360) 346-2222(360) 346-2163 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Summit Pacific Wellness Clinic NPPES

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

SUMMIT PACIFIC WELLNESS CLINIC (NPI 1811025216) is a healthcare organization registered as a rural health in Elma, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Renee K Jensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811025216
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Location Address610 E MAIN STREETElma, WA 98541-9551
Mailing Address600 E Main StElma, WA 98541-9560 · (360) 346-2222 · Fax (360) 346-2163
Phone(360) 346-2222
Fax(360) 346-2163
Organization SubpartYes
Authorized OfficialRenee K JensenCeo · (360) 495-3244
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 18, 2019
✔ NPI 1811025216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in WA · HAC.FS.00000186
Also ListedFamily MedicineTaxonomy 207Q00000X
610 E MAIN STREET, Elma, WA 98541
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Other Names 1

Doing Business AsSummit Pacific Wellness Clinic

Other Identifiers 1

Medicaid7103815WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 50D2179849

Summit Pacific Wellness Center · Elma, WA
Active · expires Apr 4, 2028
CLIA Number50D2179849
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 3, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKelly Lloyd
Laboratory Phone(360) 346-2222
Laboratory LocationSummit Pacific Wellness Center610 E Main St, Elma, WA 98541
CLIA data matches this NPI record on: Address 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 Public Hospital District No. 1's NPI number?

The NPI number for Grays Harbor County Public Hospital District No. 1 is 1811025216. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Grays Harbor County Public Hospital District No. 1 located?

Grays Harbor County Public Hospital District No. 1 is located at 610 E Main Street, Elma, WA 98541. The listed phone number is (360) 346-2222.

What is Grays Harbor 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.

Does Grays Harbor County Public Hospital District No. 1 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2179849) 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 Grays Harbor County Public Hospital District No. 1 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Grays Harbor 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 Grays Harbor County Public Hospital District No. 1 was last updated on January 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.