| Lower Elwha Klallam Tribe Health Clinic | |
|
243511 W Highway 101 Port Angeles WA 98363-9472 | |
| (360) 452-6252 | |
| (360) 452-6274 |
| Full Name | Lower Elwha Klallam Tribe Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 243511 W Highway 101, Port Angeles, Washington |
| Authorized Official Name and Position | Frances G Charles (CHAIRWOMAN) |
| Authorized Official Contact | 3604528471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Elwha Klallam Tribe Health Clinic 243511 W Highway 101 Port Angeles WA 98363-9472 Ph: (360) 452-6252 | Lower Elwha Klallam Tribe Health Clinic 243511 W Highway 101 Port Angeles WA 98363-9472 Ph: (360) 452-6252 |
| NPI Number | 1821114026 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/17/2022 |
| Medicare PECOS PAC ID | 0446240964 |
|---|---|
| Medicare Enrollment ID | O20040517000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821114026 | NPI | - | NPPES |
| 50-1835 | Other | WA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Anne L Kanters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023175155 PECOS PAC ID: 6901824648 Enrollment ID: I20051110000649 |
| Provider Name | Matthew Scott Whitacre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730356858 PECOS PAC ID: 8123215241 Enrollment ID: I20160614001513 |
| Provider Name | Terry Wayne Fouts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356434542 PECOS PAC ID: 5092724401 Enrollment ID: I20180719001997 |
| Provider Name | Brigid Counts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285979294 PECOS PAC ID: 3779935317 Enrollment ID: I20240118003105 |
| Provider Name | Gretchen Gallagher Van Blair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629698493 PECOS PAC ID: 7416391099 Enrollment ID: I20240222001550 |
Robert R. Witham, Md. Inc,ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 N Washington St, Port Angeles, WA 98362 Phone: 360-452-5322 Fax: 360-452-5236 | |
North Olympic Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 W Front St, Suite A, Port Angeles, WA 98362 Phone: 360-452-7891 Fax: 360-452-8087 | |
Cammacks Clinical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 E 2nd St Ste A, Port Angeles, WA 98362 Phone: 360-504-3961 Fax: 360-452-4288 | |
Lower Elwha Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3080 Lower Elwha Rd, Port Angeles, WA 98363 Phone: 360-452-8471 Fax: 360-457-8429 | |
Family Medicine Of Port Angeles Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 W Front St Ste A, Port Angeles, WA 98362 Phone: 360-452-7891 Fax: 360-452-8087 | |
Family Medicine Of Port Angeles Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Caroline St, Port Angeles, WA 98362 Phone: 360-452-7891 Fax: 360-782-7891 | |
Clinicare Of Port Angeles Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E Front St, Port Angeles, WA 98362 Phone: 360-452-5000 Fax: 360-452-0228 |