| Jefferson Healthcare Express Clinic | |
|
1274 7th St Ste A Port Townsend WA 98368-2404 | |
| (360) 385-2204 | |
| (360) 385-3095 |
| Full Name | Jefferson Healthcare Express Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1274 7th St Ste A, Port Townsend, Washington |
| Authorized Official Name and Position | Mike Glenn (CEO) |
| Authorized Official Contact | 3603852200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Healthcare Express Clinic 834 Sheridan St Port Townsend WA 98368-2443 Ph: () - | Jefferson Healthcare Express Clinic 1274 7th St Ste A Port Townsend WA 98368-2404 Ph: (360) 385-2204 |
| NPI Number | 1013421114 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 4789593708 |
|---|---|
| Medicare Enrollment ID | O20180119000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013421114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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