JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI 1629492525

NPI Information

NPI: 1629492525
Provider Name: JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Doing Business As: JEFFERSON HEALTHCARE SURGICAL ASSOCIATES

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1010 SHERIDAN ST STE 201
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-5444
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JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 is a critical access general acute care hospital in Port Townsend, WA. JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI is 1629492525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jefferson Healthcare Surgical Associates.

The provider's business location address is:

1010 SHERIDAN ST STE 201
PORT TOWNSEND, WA
ZIP 98368-901
Phone: (360) 385-5444
Fax: (360) 385-5352

The provider's authorized official is Mike Glenn .
The authorized official title is Ceo and has the following contact phone number (360) 385-2200.

The enumeration date for this NPI number is 2/12/2014 and was last updated on 2/22/2024.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	282NC0060X	General Acute Care Hospital	Critical Access	HAC.FS.00000085	WASHINGTON	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	1008579	MEDICAID	WASHINGTON
2	3301900	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: 5/5/2024

NPI Synchronization or Removal

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