JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1902850753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902850753 |
Entity Type | Organization |
Organization Name | JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
Other Organization Name | JEFFERSON HEALTHCARE SHERIDAN CLINIC |
Practice Address |
915 Sheridan St Port Townsend WA 98368-2931 |
Mailing Address |
834 Sheridan St Port Townsend WA 98368-2443 |
Practice Telephone | 3603798031 |
Practice Fax Number | 3603794383 |
Mailing Telephone | 3603852200 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2020-10-29 |
Authorized Official Name | MIKE GLENN (CEO) |
Authorized Official Telephone | 3603852200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jefferson Healthcare Internal Medicine,Pediatrics and Primary Care | Doing Business As Name - Organization |
Jefferson Healthcare Sheridan Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
1780897074 | Jefferson County Public Hospital District No 2 | Clinic/Center | 294843 State Highway 101, Quilcene, WA 98376 | 2007-05-07 |
1467664631 | Jefferson County Public Hospital District No 2 | Psychiatry & Neurology | 9833 Poplars Ave Nw Ste 104, Silverdale, WA 98383-7675 | 2007-05-03 |
1760433049 | Jefferson County Public Hospital District No 2 | Clinic/Center | 1010 Sheridan St, Suite 101, Port Townsend, WA 98368-2901 | 2006-05-12 |
1346210366 | Jefferson County Public Hospital District No 2 | Hospice Care, Community Based | 2500 W Sims Way Ste 300, Port Townsend, WA 98368-2234 | 2006-01-23 |
1295218188 | Jefferson County Public Hospital District No 2 | Pharmacy | 9481 Oak Bay Rd Ste A, Port Ludlow, WA 98365-9801 | 2018-09-07 |
1013421114 | Jefferson County Public Hospital District No 2 | Clinic/Center | 834 Sheridan, Suite B, Port Townsend, WA 98368-2443 | 2017-11-28 |
1174917033 | Jefferson County Public Hospital District No 2 | Urology | 1274 7th St Ste B, Port Townsend, WA 98368-2404 | 2015-03-27 |
1245657956 | Jefferson County Public Hospital District No 2 | General Acute Care Hospital | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2014-03-20 |
1629492525 | Jefferson County Public Hospital District No 2 | General Acute Care Hospital | 1010 Sheridan St Ste 201, Port Townsend, WA 98368-2901 | 2014-02-12 |
Street Address |
915 SHERIDAN ST |
City | PORT TOWNSEND |
State | WA |
Zip Code | 98368-2931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497707889 | Sara Katz | Physician Assistant | 915 Sheridan St, Suite B103, Port Townsend, WA 98368-2931 | 2006-05-16 |
1154985083 | Meagan Stephanie Taylor | Dental Hygienist | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2019-04-25 |
1790268852 | Christine Doyle | Nurse Practitioner | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2018-09-13 |
1891275400 | Pavel N Vasilyuk | Dentist | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2018-08-14 |
1619484250 | Jenna Hoogestraat | Physician Assistant | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2018-01-04 |
1952767865 | Sarah Irick | Nurse Practitioner | 915 Sheridan St, Suite B103, Port Townsend, WA 98368-2931 | 2016-01-07 |
1407236912 | Katherine Biccum | Family Medicine | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2015-06-01 |
1700068764 | Charlene Joy Hallowell | Physical Therapy Assistant | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2007-12-03 |
1124224225 | Molly B Parker | Family Medicine | 915 Sheridan St, Suite B103, Port Townsend, WA 98368-2931 | 2007-06-25 |
1760587133 | Rachel Lynn Bickling | Family Medicine | 915 Sheridan St, Suite B103, Port Townsend, WA 98368-2931 | 2006-09-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
Find all providers in zip 98368 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760433049 | Jefferson County Public Hospital District No 2 | Clinic/Center | 1010 Sheridan St, Suite 101, Port Townsend, WA 98368-2901 | 2006-05-12 |
1013421114 | Jefferson County Public Hospital District No 2 | Clinic/Center | 834 Sheridan, Suite B, Port Townsend, WA 98368-2443 | 2017-11-28 |
1952353369 | Jefferson County Public Hospital District No 2 | Clinic/Center | 934 Sheridan St, Port Townsend, WA 98368-2957 | 2006-05-16 |
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 |
Find all providers with the same taxonomy |
City | PORT TOWNSEND |
Zip Code | 98368 |
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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.