FORKS COMMUNITY HOSPITAL
NPI 1891879680
General Acute Care Hospital - Critical Access in Forks, WA

Active since October 25, 2006CLIA 50D0635062 · Certificate of Compliance
530 BOGACHIEL WAY, FORKS, WA 98331(360) 374-6271 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2021, Nov 16, 2016 (2 updates tracked since 2016).

About Forks Community Hospital NPPES

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

FORKS COMMUNITY HOSPITAL (NPI 1891879680) is a healthcare organization registered as a critical access in Forks, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Starla Daman, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1891879680
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Location Address530 BOGACHIEL WAYForks, WA 98331-9120
Mailing Address530 Bogachiel WayForks, WA 98331-9120 · (360) 374-6271
Organization SubpartNo
Authorized OfficialStarla DamanBilling Manger · (360) 374-6271
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1891879680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in WA · H-054
Also ListedAmbulanceTaxonomy 341600000X
530 BOGACHIEL WAY, Forks, WA 98331

Other Names 1

Doing Business AsForks Community Hospital

Other Identifiers 1

Medicaid3302809WA

Accepted 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)

Forks Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Forks Community Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Emergency Medicine12
Family Practice9
Nurse Practitioner7
Hospitalist6
Mental Health Counselor4
Certified Registered Nurse Anesthetist (CRNA)3
Internal Medicine3
Cardiovascular Disease (Cardiology)2
6 other specialties9

Nearest to this location (20)

See all 55
Mental Health Counselor
NPI 1104605039
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-5011
✔ PECOSSame address
Nurse Practitioner
NPI 1700382843
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1962769760
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700585601
530 BOGACHIEL WAY
Forks, WA 98331
(270) 505-5519
✔ PECOSSame address
Internal Medicine
NPI 1598706103
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093367005
530 BOGACHIEL WAY
Forks, WA 98331
(360) 374-6271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144009119
390 FOUNDERS WAY
Forks, WA 98331
(360) 374-6998
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1376583674
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare46 mi
Podiatry
NPI 1598851081
630 E 8TH ST
Port Angeles, WA 98362
(360) 457-1772
✔ PECOS✔ Accepts Medicare46 mi
Diagnostic Radiology
NPI 1184692394
939 CAROLINE ST
Port Angeles, WA 98362
(360) 417-7000
✔ PECOS✔ Accepts Medicare47 mi
Family Practice
NPI 1982786968
801 N. MONTESANO
Westport, WA 98595
(360) 268-0195
✔ PECOS74 mi
Family Practice
NPI 1265560049
723 N. MONTESANO
Westport, WA 98595
(360) 268-0195
✔ PECOS74 mi
Cardiovascular Disease (Cardiology)
NPI 1073506143
22180 OLYMPIC COLLEGE WAY NW
Poulsbo, WA 98370
(360) 373-2547
✔ PECOS✔ Accepts Medicare82 mi
Emergency Medicine
NPI 1881857993
10452 SILVERDALE WAY NW
Silverdale, WA 98383
(360) 307-7300
✔ PECOS✔ Accepts Medicare82 mi
General Surgery
NPI 1538143292
11511 CANTERWOOD BLVD STE 140
Gig Harbor, WA 98332
(253) 530-2940
✔ PECOS✔ Accepts Medicare92 mi
Orthopedic Surgery
NPI 1952306037
11511 CANTERWOOD BLVD NW STE 205
Gig Harbor, WA 98332
(253) 530-2663
✔ PECOS✔ Accepts Medicare92 mi
Hospitalist
NPI 1871609958
700 LILLY RD NE
Olympia, WA 98506
(360) 923-7000
✔ PECOS✔ Accepts Medicare95 mi
Interventional Cardiology
NPI 1447407465
3620 ENSIGN RD NE STE B
Olympia, WA 98506
(206) 520-5000
✔ PECOS✔ Accepts Medicare95 mi
Interventional Cardiology
NPI 1871731364
3620 ENSIGN RD NE STE B
Olympia, WA 98506
(360) 884-0052
✔ PECOS✔ Accepts Medicare95 mi
Emergency Medicine
NPI 1568044048
325 9TH AVE # 359702
Seattle, WA 98104
(206) 744-3000
✔ PECOS✔ Accepts Medicare99 mi
See all 55 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 of Compliance 50D0635062

Forks Community Hospital Laboratory · Forks, WA
Active · expires Apr 4, 2028
CLIA Number50D0635062
Laboratory TypeHospital
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorShefali Goyal
Laboratory Phone(360) 374-6271
Laboratory LocationForks Community Hospital Laboratory530 Bogachiel Way, Forks, WA 98331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1891879680. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Forks Community Hospital.

Where is Clallam County Public Hospital District No 1 located?

Clallam County Public Hospital District No 1 is located at 530 Bogachiel 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 General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

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), 55 clinicians in 14 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 Emergency Medicine (12), Family Practice (9) and Nurse Practitioner (7). Of these, 6 practice at this address and 7 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 of Compliance (number 50D0635062) 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, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.