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:
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 | 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 13 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 | 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 |
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