JAMESTOWN S'KLALLAM TRIBE NPI 1023195161

NPI Information

NPI: 1023195161
Provider Name: JAMESTOWN S'KLALLAM TRIBE
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: JAMESTOWN HEALING CLINIC
CLIA Number: 50D2256615
Address: 526 S 9TH AVE
SEQUIM, WA
ZIP 98382
Phone: (360) 681-7755

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NPI Details

JAMESTOWN S'KLALLAM TRIBE is a federally qualified health center (fqhc) clinic center in Sequim, WA. JAMESTOWN S'KLALLAM TRIBE NPI is 1023195161. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jamestown Healing Clinic.

The provider's business location address is:

526 S 9TH AVE
SEQUIM, WA
ZIP 98382-626
Phone: (360) 681-7755
Fax: (360) 681-5999

The provider's authorized official is W. Ron Allen .
The authorized official title is Tribal Chairman/executive Director and has the following contact phone number (360) 683-1109.

The CLIA number assigned to this NPI record is 50D2256615 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/1/2006 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
3	208D00000X	General Practice		No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1991355	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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