JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1194032201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194032201 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Other Organization Name | JEFFERSON HEALTHCARE WALK IN CLINIC |
| Practice Address |
1274 7th St Ste A Port Townsend WA 98368-2404 |
| Mailing Address |
834 Sheridan St Port Townsend WA 98368-2443 |
| Practice Telephone | 3603790477 |
| Mailing Telephone | 3603852200 |
| Mailing Fax Number | 3603792282 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | MS. KATHY LEE PORTER (REGISTRATION COORDINATOR) |
| Authorized Official Telephone | 3603852200 |
| Authorized Official Credential | CHAM |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
HAC.FS.00000085 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
HAC.FS.00000085 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Jefferson Healthcare Walk in Clinic | Doing Business As Name - Organization |
| 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 |
| 1174917033 | Jefferson County Public Hospital District No 2 | Urology | 1274 7th St Ste B, Port Townsend, WA 98368-2404 | 2015-03-27 |
| 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 |
| Street Address |
1274 7TH ST STE A |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083748040 | Port Townsend Orthopaedics & Sports Medicine, Pllc | Specialist | 1274 7th St Ste A, Port Townsend, WA 98368-2404 | 2007-03-14 |
| 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 Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487611448 | Candace Byers | Physician Assistant | 934 Sheridan St, Port Townsend, WA 98368-2957 | 2006-04-26 |
| 1306351671 | Rachel Sverchek | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2017-12-08 |
| 1235465345 | Vitaliy Berezhnoy | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2.
| 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.