| |
1010 Sheridan St Ste 201 Port Townsend WA 98368-2901 | |
(360) 385-5444 | |
(360) 385-5352 |
Full Name | |
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Speciality | General Acute Care Hospital - Critical Access |
Location | 1010 Sheridan St Ste 201, Port Townsend, Washington |
Authorized Official Name and Position | Mike Glenn (CEO) |
Authorized Official Contact | 3603852200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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834 Sheridan St Port Townsend WA 98368-2443 Ph: (360) 385-2200 | 1010 Sheridan St Ste 201 Port Townsend WA 98368-2901 Ph: (360) 385-5444 |
NPI Number | 1629492525 |
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Provider Enumeration Date | 02/12/2014 |
Last Update Date | 02/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629492525 | NPI | - | NPPES |
1008579 | Medicaid | WA | |
3301900 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | HAC.FS.00000085 (Washington) | Primary |
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 | |
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 |