Jefferson Healthcare Surgical Associates

LBN: Jefferson County Public Hospital District No 2
Jefferson Healthcare Surgical Associates is an health care organization with primary practice located at 1010 Sheridan St Ste 201 , Port Townsend WA 98368-2901. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Jefferson County Public Hospital District No 2 can be contacted via phone (360) 385-5444, or through Glenn, Mike via phone (360) 385-2200.

Contact Information

Primary practice address
1010 Sheridan St Ste 201 Port Townsend WA 98368-2901
Fax: (360) 385-5352
Website:
Authorized official contact:
Name: Glenn, Mike

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Hospitals / Critical Access 282NC0060X HAC.FS.00000085 Washington

Profile Details

NPI number 1629492525
LBN Legal business name Jefferson County Public Hospital District No 2
DBA Doing business as Jefferson Healthcare Surgical Associates
Authorized official Glenn, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2014
Last updated Feb 22nd, 2024 - about 9 months 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 1629492525 NPPES
Washington MEDICAID 1008579
Washington MEDICAID 3301900

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