JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2


Address: 1274 7th St Ste B, Port Townsend, WA 98368-2404
Phone: 3603852905

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1174917033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174917033
Entity Type Organization
Organization Name JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other Organization Name JEFFERSON UROLOGY CLINIC
Practice Address 1274 7th St Ste B
Port Townsend
WA 98368-2404
Mailing Address 834 Sheridan St
Port Townsend
WA 98368-2443
Practice Telephone 3603852905
Practice Fax Number 3603856796
Mailing Telephone 3603852200
Mailing Fax Number 3603792256
Enumeration Date 2015-03-27
Last Update Date 2020-10-29
Authorized Official Name MIKE GLENN (CEO)
Authorized Official Telephone 3603852200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology HAC.FS.00000085 WA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Jefferson Healthcare Urology Clinic Doing Business As Name - Organization
JEFFERSON UROLOGY CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801188073 Jefferson County Public Hospital District No 2 Clinic/Center 89 Breaker Ln, Port Ludlow, WA 98365-9766 2011-05-06
1780897074 Jefferson County Public Hospital District No 2 Clinic/Center 294843 State Highway 101, Quilcene, WA 98376 2007-05-07
1467664631 Jefferson County Public Hospital District No 2 Psychiatry & Neurology 9833 Poplars Ave Nw Ste 104, Silverdale, WA 98383-7675 2007-05-03
1760433049 Jefferson County Public Hospital District No 2 Clinic/Center 1010 Sheridan St, Suite 101, Port Townsend, WA 98368-2901 2006-05-12
1346210366 Jefferson County Public Hospital District No 2 Hospice Care, Community Based 2500 W Sims Way Ste 300, Port Townsend, WA 98368-2234 2006-01-23
1295218188 Jefferson County Public Hospital District No 2 Pharmacy 9481 Oak Bay Rd Ste A, Port Ludlow, WA 98365-9801 2018-09-07
1013421114 Jefferson County Public Hospital District No 2 Clinic/Center 834 Sheridan, Suite B, Port Townsend, WA 98368-2443 2017-11-28
1245657956 Jefferson County Public Hospital District No 2 General Acute Care Hospital 834 Sheridan St, Port Townsend, WA 98368-2443 2014-03-20
1629492525 Jefferson County Public Hospital District No 2 General Acute Care Hospital 1010 Sheridan St Ste 201, Port Townsend, WA 98368-2901 2014-02-12
1194032201 Jefferson County Public Hospital District No 2 Nurse Practitioner 1274 7th St Ste A, Port Townsend, WA 98368-2404 2010-09-10

Office Location

Street Address 1274 7TH ST STE B
City PORT TOWNSEND
State WA
Zip Code 98368-2404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710184494 Dimitri Kuznetsov, M.d. Pllc Urology 1274 7th St Ste B, Port Townsend, WA 98368-2404 2007-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730727827 Ace It Employment & Transition Services LLC Community/Behavioral Health 1233 Lawrence Street, Port Townsend, WA 98368 2019-12-19
1942862792 Peninsula Midwives Midwife 203 Pocket Lane, Port Townsend, WA 98368 2019-07-02
1700349461 Kelle Gayelena Ronnfeldt Nurse Practitioner 844 West Park Ave, Port Townsend, WA 98368 2019-04-10
1841769031 Richard Sankey Hansen Counselor 448 Hastings Ave, Port Townsend, WA 98368 2018-11-16
1255800595 Alan P Brown Counselor 821 Mcpherson St, Port Townsend, WA 98368 2018-11-15
1699257873 Megan E Smith Counselor 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 2018-09-04
1093297434 Jacqueline Levin Clinical Nurse Specialist 234 Pond Road, Port Townsend, WA 98368 2018-09-02
1306335682 Matthew D Hust Physical Therapy Assistant 751 Kearney Street, Port Townsend, WA 98368 2018-05-02
1306368238 Michael Ozar Psychologist 1806 Walnut Street, Port Townsend, WA 98368 2017-07-12
1336674076 Yuko Umeda Registered Nurse 615 Sheridan Street, Port Townsend, WA 98368 2017-05-01
Find all providers in zip 98368

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659473825 Dimitri D Kuznetsov Urology 1274 7th St, Suite B, Port Townsend, WA 98368 2006-09-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295371532 Jeffrey Allen Zhan Urology Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 2019-11-21
1023400041 Pacific Northwest Urology Specialists, Pllc Urology 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 2015-02-27
1598182818 Boston Medical Group- Washington, P.C. Urology 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 2014-03-25
1033552823 Carol Collins Urology 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 2013-04-10
1740523158 Kacey Helena Provenzano Urology 780 Swift Blvd Ste 201, Richland, WA 99352 2013-04-03
1023366283 William P Griggs Urology 2160 Dellesta Dr, Bellingham, WA 98226-7850 2012-08-20
1710242714 Ralph Vernon Stagner Urology 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 2012-07-06
1043579980 Richard Kenneth Ohme Urology 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 2012-05-13
1730447731 Daniel Christian Sackman Urology 3124 South 19th St #c320, Tacoma, WA 98405-3011 2012-04-26
1144595299 Philip Clark May Urology 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 2012-03-21
Find all providers with the same taxonomy

Competitor

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City PORT TOWNSEND
Zip Code 98368

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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