Jamestown Family Health Clinic

LBN: Jamestown S'Klallam Tribe
Jamestown Family Health Clinic is an health care organization with primary practice located at 808 N 5Th Ave , Sequim WA 98382-3045. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Jamestown S'Klallam Tribe can be contacted via phone (360) 683-5900, or through Allen, William Ron via phone (360) 683-1109.

Contact Information

Primary practice address
808 N 5Th Ave Sequim WA 98382-3045
Phone: (360) 683-5900
Fax: (360) 582-4800
Website:
Map and Directions
Authorized official contact:
Name: Allen, William Ron
Phone: (360) 683-1109

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
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 1134181555
LBN Legal business name Jamestown S'Klallam Tribe
DBA Doing business as Jamestown Family Health Clinic
Authorized official Allen, William Ron
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Dec 29th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134181555 NPPES
Washington MEDICAID 7111768

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