OLYMPIC COMMUNITY ACTION PROGRAMS (NPI# 1558689711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558689711 |
Entity Type | Organization |
Organization Name | OLYMPIC COMMUNITY ACTION PROGRAMS |
Other Organization Name | OLYCAP ORAL HEALTH CENTER |
Practice Address |
228 W 1st St Ste J Port Angeles WA 98362-2639 |
Practice Telephone | 3604524726 |
Practice Fax Number | 3604574331 |
Mailing Telephone | 3604524726 |
Mailing Fax Number | 3604574331 |
Enumeration Date | 2010-05-12 |
Last Update Date | 2010-05-12 |
Authorized Official Name | MS. MAXINE E. HOFFMAN (CLINIC COORDINATOR) |
Authorized Official Telephone | 3604524726 |
Authorized Official Credential | RDH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | 600-443-619 | WA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5900691 | 05 | |
WA | 1026255 | 05 |
Other Name | Type Code |
---|---|
OlyCAP Oral Health Center | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | OLYMPIC COMMUNITY ACTION PROGRAMS | 823 Commerce Loop, Port Townsend, WA 98368-2904 |
Street Address |
228 W 1ST ST STE J |
City | PORT ANGELES |
State | WA |
Zip Code | 98362-2639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184831703 | Thomas L Demoss | Dentist | 228 W 1st St, Port Angeles, WA 98362-2639 | 2007-05-16 |
1851730691 | Sea-mar Community Health Center | Dentist | 228 W 1st St, Suite L, Port Angeles, WA 98362-2639 | 2013-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
Find all providers in zip 98362 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169753 | Hearthstone Dermatology Nonprofit Professional Services | Voluntary or Charitable | 828 Mox Chehalis Rd, Mccleary, WA 98557-9408 | 2020-09-22 |
1639792849 | The Progress House Association | Voluntary or Charitable | 4420 E Portland Ave, Tacoma, WA 98404-4666 | 2020-05-21 |
1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
1821641796 | Columbia Industries | Voluntary or Charitable | 900 S Dayton St, Kennewick, WA 99336-5667 | 2019-07-19 |
1720541493 | North Mason Resources | Voluntary or Charitable | 140 State Highway 300, Belfair, WA 98528-9852 | 2019-04-10 |
1871958090 | Ray Yip | Voluntary or Charitable | 1136 8th Ave W, Seattle, WA 98119-3440 | 2015-12-16 |
1184034191 | Aes Psychological Services | Voluntary or Charitable | 19439 1st Ave S Apt F3, Normandy Park, WA 98148-2177 | 2014-04-29 |
1144640772 | Walla Walla Senior Citizens Center Inc | Voluntary or Charitable | 720 Sprague St, Walla Walla, WA 99362-3953 | 2014-04-22 |
1386989614 | Citrine Health | Voluntary or Charitable | 2940 W Marine View Dr, Everett, WA 98201-3926 | 2012-11-27 |
1518269950 | Options 360 | Voluntary or Charitable | 1706 W Main St, Battle Ground, WA 98604-4319 | 2010-11-17 |
Find all providers with the same taxonomy |
City | PORT ANGELES |
Zip Code | 98362 |
Please comment or provide details below to improve the information on OLYMPIC COMMUNITY ACTION PROGRAMS.
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.