WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT (NPI# 1154361590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154361590 |
| Entity Type | Organization |
| Organization Name | WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT |
| Other Organization Name | WHIDBEYHEALTH PRIMARY CARE - CLINTON |
| Practice Address |
11245 Sr 525 Clinton WA 98236 |
| Mailing Address |
Po Box 24789 Seattle WA 98124-0789 |
| Practice Telephone | 3603415252 |
| Practice Fax Number | 3603418727 |
| Mailing Telephone | 3606787656 |
| Mailing Fax Number | 3606783858 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | RONALD L TELLES (CFO) |
| Authorized Official Telephone | 3606787656 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 000092 | WA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7105513 | 05 |
| Other Name | Type Code |
|---|---|
| WhidbeyHealth Primary Care - Clinton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1538770623 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 4215 Lorcom Ln, Arlington, VA 22207-3305 | 2020-08-12 |
| 1336760586 | Whidbey Island Public Hospital District | Radiology | 7167 Ne 126th St, Kirkland, WA 98034-5717 | 2020-04-29 |
| 1609497858 | Whidbey Island Public Hospital District | Radiology | 318 W Lake Samish Dr, Bellingham, WA 98229-9313 | 2020-04-29 |
| 1780228619 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 1310 N Roan St, Johnson City, TN 37601-3942 | 2019-11-04 |
| 1740823780 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 761 Jefferson Pl, Taylor Mill, KY 41015-2233 | 2019-10-22 |
| 1609419654 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 24611 Cobble Canyon Ln, Katy, TX 77494-6599 | 2019-10-22 |
| 1316411325 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 5632 W 63rd Terrace, Mission, KS 66202-4202 | 2019-01-14 |
| 1720528441 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 5 Stead Ct, Voorhees, NJ 08043-4121 | 2017-02-28 |
| 1588104202 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 205 E Central Ave, Moorestown, NJ 08057-3621 | 2017-02-28 |
| Street Address |
11245 SR 525 |
| City | CLINTON |
| State | WA |
| Zip Code | 98236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154385433 | Vicki R Werve | Nurse Practitioner | 11245 Sr 525, Clinton, WA 98236 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432028 | Crystal Ogle | Midwife | 7149 Maxwelton Rd., Clinton, WA 98236 | 2014-02-11 |
| 1760782825 | Brittany Ann Olsen-boblitt | Speech-Language Pathologist | 6442 Central Ave Ste C, Clinton, WA 98236 | 2010-10-23 |
| 1124358874 | June Elizabeth Polasek | Counselor | 3268 Hilberg Ln, Clinton, WA 98236 | 2009-12-31 |
| 1336117597 | Soas, LLC | Durable Medical Equipment & Medical Supplies | 8970 State Route 525, Clinton, WA 98236 | 2006-03-14 |
| 1134345242 | Bradford S Weeks | Preventive Medicine | 6456 S Central Ave, Clinton, WA 98236-0740 | 2007-04-17 |
| 1588785612 | Kristin L Penn | Counselor | 4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 | 2007-04-03 |
| 1124104484 | Andrew Shannon Neff | Psychologist | 4139 Beachmont Dr., Clinton, WA 98236-8411 | 2006-10-30 |
| 1114046539 | Dale B Christensen | Pharmacist | 4185 Redwood Dr, Clinton, WA 98236-8413 | 2007-03-28 |
| 1619475548 | Judith Ann Kenning | Registered Nurse | 4188 Winns Hollow Ln Unit 1, Clinton, WA 98236-8429 | 2018-01-25 |
| 1134475577 | Jeffrey Paul Lagasse | Emergency Medicine | 6708 Kenney Way, Clinton, WA 98236-8504 | 2012-08-02 |
| Find all providers in zip 98236 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226212 | Physicians Medical Group Plc | Clinic/Center | 145 Shakerag Rd, Clinton, AR 72031-6678 | 2006-07-13 |
| 1003873266 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N. 2nd Street, Clinton, MO 64735-3201 | 2006-04-28 |
| 1396713079 | Hospital of Fulton Inc | Clinic/Center | 106 W Clay St, Clinton, KY 42031-1317 | 2006-03-09 |
| 1285286138 | Clinton Hma LLC | Clinic/Center | 209 S 30th St, Clinton, OK 73601-3657 | 2019-07-11 |
| 1386171460 | Clinton Hma LLC | Clinic/Center | 123 S 9th St, Clinton, OK 73601-3328 | 2017-05-19 |
| 1134512395 | Prisma Health-upstate | Clinic/Center | 210 S Broad St, Clinton, SC 29325-2505 | 2015-03-12 |
| 1013245471 | Hope Medical Clinic Inc | Clinic/Center | 145 Shake Rag Rd, Clinton, AR 72031-6682 | 2009-11-24 |
| 1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
| 1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1265421861 | Conway Regional Medical Center Inc. | Clinic/Center | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2005-10-17 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.