Jamestown S'Klallam Tribe in Sequim - Federally Qualified Health Center (fqhc)
Jamestown S'Klallam Tribe - NPI 1477630507
Jamestown S'Klallam Tribe is a Federally Qualified Health Center (fqhc) in Sequim, Washington. Jamestown S'Klallam Tribe practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Jamestown S'Klallam Tribe is 1477630507. The last update date is 2021-12-29.
Jamestown S'Klallam Tribe's current location address is 1033 Old Blyn Hwy, Sequim, Washington. You can contact this provider via phone number 3606831109 and fax number 3606833401. The mailing address for Jamestown S'Klallam Tribe is 1033 Old Blyn Hwy, Sequim, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jamestown S'Klallam Tribe |
|---|---|
| Address | 1033 Old Blyn Hwy, Sequim, Washington |
| Phone Number | 3606831109 |
| Fax Number | 3606833401 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TRIBAL CHA |
|---|---|
| Authorized Official Name | Allen Ron W. |
| Telephone Number | 3606831109 |
NPI Number Detail
| NPI Number | 1477630507 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 1033 Old Blyn Hwy |
|---|---|
| City | Sequim |
| State | Washington (WA) |
| Post Code | 983827670 |
| Phone Number | 3606831109 |
| Fax Number | 3606833401 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7123433 | WA | -- |
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What is the unique 10-digit identification code issued to Jamestown S'Klallam Tribe by the Centers for Medicare & Medicaid Services?
The Jamestown S'Klallam Tribe has been assigned the NPI (National Provider Identifier) 1477630507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jamestown S'Klallam Tribe located?
The Jamestown S'Klallam Tribe is located at 1033 Old Blyn Hwy, Sequim, WA 983827670.
What is Jamestown S'Klallam Tribe's area of expertise and its corresponding taxonomy classification?
The Jamestown S'Klallam Tribe's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jamestown S'Klallam Tribe receive its 1477630507 assignment from the Centers for Medicare & Medicaid Services?
The Jamestown S'Klallam Tribe was assigned its 1477630507 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the Jamestown S'Klallam Tribe's details last updated?
The information pertaining to the Jamestown S'Klallam Tribe, including its address, specialty, and other details, was most recently updated on 2021-12-29.