San Juan Healthcare Associates Pllc
LBN: San Juan Healthcare Associates Pllc
San Juan Healthcare Associates Pllc is an health care organization with primary practice located at 689 Airport Center Ste B, Friday Harbor WA 98250. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
San Juan Healthcare Associates Pllc can be contacted via phone (360) 378-1338, or through Gossom, John Burk via phone (360) 378-1338.
Contact Information
Primary practice address
689 Airport Center Ste B
Friday Harbor WA 98250
Phone: (360) 378-1338
Fax: (360) 378-1830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1356326565 |
|---|---|
| LBN Legal business name | San Juan Healthcare Associates Pllc |
| DBA Doing business as | |
| Authorized official | Gossom, John Burk Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Aug 22nd, 2020 - 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 | 1356326565 | NPPES |
| Other | 8937841 | CRIME VICTIMS | |
| Other | 0152516 | CRIME VICTIMS | |
| Other | 7108681 | CRIME VICTIMS | |
| Other | 9451SA | CRIME VICTIMS | |
| Other | J5122 | CRIME VICTIMS |
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