| Jefferson Healthcare Watership Clinic | |
|
1010 Sheridan St Suite 101 Port Townsend WA 98368-2901 | |
| (360) 379-8031 | |
| (360) 385-0418 |
| Full Name | Jefferson Healthcare Watership Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Sheridan St, 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 Watership Clinic 834 Sheridan St Port Townsend WA 98368-2443 Ph: (360) 385-2200 | Jefferson Healthcare Watership Clinic 1010 Sheridan St Suite 101 Port Townsend WA 98368-2901 Ph: (360) 379-8031 |
| NPI Number | 1760433049 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 4789593708 |
|---|---|
| Medicare Enrollment ID | O20100825000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760433049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mark N Cherniack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982093472 PECOS PAC ID: 3072830991 Enrollment ID: I20150402000177 |
Jefferson Healthcare Express Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1274 7th St Ste A, Port Townsend, WA 98368 Phone: 360-385-2204 Fax: 360-385-3095 | |
Quimper Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Lawrence St, Port Townsend, WA 98368 Phone: 360-385-3826 Fax: 360-385-3937 | |
Madrona Family Medicine, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Quincy St, Port Townsend, WA 98368 Phone: 360-440-6220 | |
Jefferson Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 Fax: 360-379-4381 | |
Jefferson Healthcare Surgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Sheridan St Ste 201, Port Townsend, WA 98368 Phone: 360-385-5444 Fax: 360-385-5352 | |
Kala Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Kala Square Pl, Port Townsend, WA 98368 Phone: 360-344-8166 Fax: 360-379-6518 | |
North Star Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Lawrence St, Port Townsend, WA 98368 Phone: 360-531-3989 Fax: 360-344-8411 |