HOODSPORT FAMILY CLINIC,P.S. (NPI# 1457359788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457359788 |
| Entity Type | Organization |
| Organization Name | HOODSPORT FAMILY CLINIC,P.S. |
| Practice Address |
24261 North Us Highway 101 Hoodsport WA 98548-0279 |
| Mailing Address |
Po Box 279 Hoodsport WA 98548-0279 |
| Practice Telephone | 3608770372 |
| Practice Fax Number | 3608770565 |
| Mailing Telephone | 3608770372 |
| Mailing Fax Number | 3608770565 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | MR. DAVID LEE MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 3608770372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | S71181 | WA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
503884 | WA | Ambulatory Health Care Facilities |
| Street Address |
24261 NORTH US HIGHWAY 101 |
| City | HOODSPORT |
| State | WA |
| Zip Code | 98548-0279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790195832 | Hilary Walker | Nurse Practitioner | 24261 North Us Highway 101, Hoodsport, WA 98548-5001 | 2014-04-29 |
| 1467881326 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Hoodsport, WA 98548-0279 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407270259 | Hoodsport Physical Therapy | Physical Therapist | 60 North Lake Cushman Road, Ste 107, Hoodsport, WA 98548 | 2014-02-14 |
| 1902084544 | L C Leblanc | Counselor | 627 W Franklin St, Shelton, WA 98548 | 2008-02-06 |
| 1205834520 | Margene Deann Fields | Nurse Practitioner | 24261 North U.S. Highway 101, Hoodsport, WA 98548-0279 | 2005-07-11 |
| 1518389733 | Brian Ray Oleson | Dentist | N. 68 Cushman Ave., Hoodsport, WA 98548-0817 | 2014-01-07 |
| 1790902542 | Dr. Brian R. Oleson | Clinic/Center | N. 68 Lake Cushman Rd., Hoodsport, WA 98548-0817 | 2007-04-20 |
| 1306002639 | Sara Patricia Holt-knox | Nurse Practitioner | 24261 N Us Highway 101, Hoodsport, WA 98548-9456 | 2008-08-06 |
| 1801277637 | Daniel Joseph Burris | Family Medicine | 24261 N Us Highway 101, Hoodsport, WA 98548-9456 | 2015-06-17 |
| 1558898379 | Patricia C Wright | Counselor | 70 N Bass Pl, Hoodsport, WA 98548-9517 | 2017-05-11 |
| 1639156912 | Mason County Fire District 18 | Ambulance | 240 N Standstill Dr S, Hoodsport, WA 98548-9777 | 2005-12-28 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467881326 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Hoodsport, WA 98548-0279 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
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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.