| San Juan Healthcare Pc | |
|
689 Airport Center Dr Suite B Friday Harbor WA 98250 | |
| (360) 378-1338 | |
| (360) 378-8130 |
| Full Name | San Juan Healthcare Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 689 Airport Center Dr Suite B, Friday Harbor, Washington |
| Authorized Official Name and Position | John Burk Gossom (OWNER) |
| Authorized Official Contact | 3603781338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Healthcare Pc Po Box 1550 Friday Harbor WA 98250-1550 Ph: (360) 378-1338 | San Juan Healthcare Pc 689 Airport Center Dr Suite B Friday Harbor WA 98250 Ph: (360) 378-1338 |
| NPI Number | 1407055742 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407055742 | NPI | - | NPPES |
| 612622200 | Other | WA | US NATL PARK SERVICE |
| 8937841 | Other | WA | CRIME VICTIMS |
| 602732862 | Other | WA | UBI |
| J5122 | Other | WA | RAILROAD MEDICARE |
| PENDING | Other | WA | MEDICARE |
| 50D0990556 | Other | WA | CLIA |
| 612622200 | Other | WA | US CUSTOMAS & BORDER PROTECTION |
| 7138829 | Medicaid | WA | |
| 9451SA | Other | WA | REGENCE |
| POO425655DG2646 | Other | WA | RAILROAD MEDICARE |
| 0152516 | Other | WA | LABOR AND INDUSTRIES |
| 748121 | Other | WA | GROUP HEALTH COOPERATIVE |
| PENDING | Other | WA | DSHS |
| 7135981 | Medicaid | WA | |
| 7990344 | Other | WA | AETNA |
| 361929500 | Other | WA | PARKS NATL L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
San Juan Healthcare Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 689 Airport Center, Ste B, Friday Harbor, WA 98250 Phone: 360-378-1338 Fax: 360-378-1830 | |
Eventide Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 689 Airport Center, Friday Harbor, WA 98250 Phone: 360-378-1338 | |
Friday Harbor Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Blair Ave, Friday Harbor, WA 98250 Phone: 360-370-5971 Fax: 360-370-5940 | |
Peace Island Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 | |
Inter Island Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 | |
W.i.n.s. Integrated Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Price St, Friday Harbor, WA 98250 Phone: 360-370-7380 Fax: 866-651-0544 |