Pacific Rim Headache Center

LBN: Pacific Rim Headache Center
Pacific Rim Headache Center is an health care organization with primary practice located at 715 Seafarers Way Ste 201 B, Anacortes WA 98221-2257. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Pacific Rim Headache Center can be contacted via phone (360) 588-1460, or through Jones, Johnny Michael via phone (360) 588-1460.

Contact Information

Primary practice address
715 Seafarers Way Ste 201 B Anacortes WA 98221-2257
Phone: (360) 588-1460
Fax: (360) 588-1473
Website:
Map and Directions
Authorized official contact:
Name: Jones, Johnny Michael MPAS-C
Phone: (360) 588-1460

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00009893 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00017410 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004470 Washington

Profile Details

NPI number 1174822159
LBN Legal business name Pacific Rim Headache Center
DBA Doing business as
Authorized official Jones, Johnny Michael MPAS-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2011
Last updated Mar 1st, 2012 - about 12 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 1174822159 NPPES
Washington MEDICAID 1174822159

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