OrganizationActive
Grays Harbor County
NPI 1285447938 · Prison Health Clinic/Center · Montesano, WA
Provider details
- NPI number
- 1285447938
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vickie Raines, Grays Harbor County Commissioner(360) 249-3711
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
100 W. Broadway Avenue
Suite 3
Montesano, WA 98563
Phone: (360) 249-3711
Fax: (360) 249-3722
Approximate (ZIP-level) locationGet directions
Mailing address
100 W. Broadway Avenue
Montesano, WA 98563
Other names (DBA / former)
- Doing business as
- Grays Harbor County Jail Medical
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.