San Juan Healthcare Pc

LBN: San Juan Healthcare Pc
San Juan Healthcare Pc is an health care organization with primary practice located at 689 Airport Center Dr Suite 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 Pc 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 Dr Suite B Friday Harbor WA 98250
Phone: (360) 378-1338
Fax: (360) 378-8130
Website:
Map and Directions
Authorized official contact:
Name: Gossom, John Burk Doctor of Medicine (MD)
Phone: (360) 378-1338

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1407055742
LBN Legal business name San Juan Healthcare Pc
DBA Doing business as
Authorized official Gossom, John Burk Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Mar 4th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407055742 NPPES
Washington Other 612622200 US NATL PARK SERVICE
Washington Other 8937841 US NATL PARK SERVICE
Washington Other 602732862 US NATL PARK SERVICE
Washington Other J5122 US NATL PARK SERVICE
Washington Other PENDING US NATL PARK SERVICE
Washington Other 50D0990556 US NATL PARK SERVICE
Washington Other 612622200 US NATL PARK SERVICE
Washington MEDICAID 7138829 US NATL PARK SERVICE
Washington Other 9451SA US NATL PARK SERVICE
Washington Other POO425655DG2646 US NATL PARK SERVICE
Washington Other 0152516 US NATL PARK SERVICE
Washington Other 748121 US NATL PARK SERVICE
Washington Other PENDING US NATL PARK SERVICE
Washington MEDICAID 7135981 US NATL PARK SERVICE
Washington Other 7990344 US NATL PARK SERVICE
Washington Other 361929500 US NATL PARK SERVICE

Popular Providers