EVENTIDE HEALTH PLLC NPI 1669010476

NPI Information

  • NPI: 1669010476
  • Provider Name: EVENTIDE HEALTH PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 50D0990556
  • Address: 689 AIRPORT CENTER
    FRIDAY HARBOR, WA
    ZIP 98250
  • Phone: (360) 378-1338

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NPI Details

EVENTIDE HEALTH PLLC is a rural health clinic center in Friday Harbor, WA. EVENTIDE HEALTH PLLC NPI is 1669010476. The provider is registered as an organization entity type.

The provider's business location address is:

689 AIRPORT CENTER
FRIDAY HARBOR, WA
ZIP 98250
Phone: (360) 378-1338

The provider's authorized official is William F House .
The authorized official title is Physician/owner and has the following contact phone number (360) 378-1388.

The CLIA number assigned to this NPI record is 50D0990556 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2019 and was last updated on 9/2/2020.

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
1261QP2300XClinic/CenterPrimary CareNo
2261QR1300XClinic/CenterRural HealthYes

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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