Jamestown Healing Clinic
LBN: Jamestown S'Klallam Tribe
Jamestown Healing Clinic is an health care organization with primary practice located at 526 S 9Th Ave , Sequim WA 98382-3626. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Jamestown S'Klallam Tribe can be contacted via phone (360) 681-7755, or through Allen, W. Ron via phone (360) 683-1109.
Contact Information
Primary practice address
526 S 9Th Ave
Sequim WA 98382-3626
Phone: (360) 681-7755
Fax: (360) 681-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1104901941 |
|---|---|
| LBN Legal business name | Jamestown S'Klallam Tribe |
| DBA Doing business as | Jamestown Healing Clinic |
| Authorized official | Allen, W. Ron |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | May 3rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104901941 | NPPES |
| Washington | MEDICAID | 1981141 |
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