Jamestown Dental Clinic
LBN: Jamestown S'Klallam Tribe
Jamestown Dental Clinic is an health care organization with primary practice located at 1033 Old Blyn Hwy , Sequim WA 98382-7670. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Public Health, Federal. Dental Providers / Dentist is the primary health care specialty.
Jamestown S'Klallam Tribe can be contacted via phone (360) 683-1109, or through Allen, W. Ron via phone (360) 683-1109.
Contact Information
Primary practice address
1033 Old Blyn Hwy
Sequim WA 98382-7670
Phone: (360) 683-1109
Fax: (360) 683-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Public Health, Federal | 261QP0904X |
Profile Details
| NPI number | 1477630507 |
|---|---|
| LBN Legal business name | Jamestown S'Klallam Tribe |
| DBA Doing business as | Jamestown Dental Clinic |
| Authorized official | Allen, W. Ron |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477630507 | NPPES |
| Washington | MEDICAID | 7123433 |
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