LOWER ELWHA MATERNAL SUPPORT SERVICES


Address: 243511 W Highway 101, Port Angeles, WA 98363-9472
Phone: 3604526252

LOWER ELWHA MATERNAL SUPPORT SERVICES (NPI# 1205151388) 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) 1205151388
Entity Type Organization
Organization Name LOWER ELWHA MATERNAL SUPPORT SERVICES
Practice Address 243511 W Highway 101
Port Angeles
WA 98363-9472
Practice Telephone 3604526252
Practice Fax Number 3604526274
Mailing Telephone 3604526252
Mailing Fax Number 3604526274
Enumeration Date 2010-04-01
Last Update Date 2010-04-19
Authorized Official Name FLORENCE PATRICIA MCEACHRANE-GROSS (MEDICAL & HEALTH DIRECTOR)
Authorized Official Telephone 3604526252
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name LOWER ELWHA KLALLAM TRIBE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator Other Service Providers
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7402480 05

Office Location

Street Address 243511 W HIGHWAY 101
City PORT ANGELES
State WA
Zip Code 98363-9472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376626069 Wendy Lynne Walsh Dentist 243511 W Highway 101, Port Angeles, WA 98363-9472 2006-10-24
1063071223 Lauren Steim Dentist 243511 W Highway 101, Port Angeles, WA 98363-9472 2019-06-11
1013422757 Idalis Rae Calvert Preventive Medicine 243511 W Highway 101, Port Angeles, WA 98363-9472 2017-12-04
1417469990 Marissa Alexandra Pratt Dietitian, Registered 243511 W Highway 101, Port Angeles, WA 98363-9472 2017-10-24
1366976201 January M Bourassa Naturopath 243511 W Highway 101, Port Angeles, WA 98363-9472 2017-04-18
1114470747 Sherry Churchill Nurse Practitioner 243511 W Highway 101, Port Angeles, WA 98363-9472 2016-08-01
1871954941 Andrea Blake Counselor 243511 W Highway 101, Port Angeles, WA 98363-9472 2016-03-16
1265834899 Lower Elwha Health Clinic Clinic/Center 243511 W Highway 101, Port Angeles, WA 98363-9472 2014-09-26
1760687057 Deborah A Rokosz Family Medicine 243511 W Highway 101, Port Angeles, WA 98363-9472 2007-06-18
1023134988 Lower Elwha Klallam Tribe Dental Clinic Clinic/Center 243511 W Highway 101, Port Angeles, WA 98363-9472 2007-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164073185 Sandra Lier Technician 1064 Freshwater Park Rd., Port Angeles, WA 98363 2019-09-20
1053969451 Kari Ann Walen Physician Assistant 4407 Fairmont Ave, Port Angeles, WA 98363 2019-08-28
1407313059 Christina Chadick Counselor 243511 Hwy 101 W., Port Angeles, WA 98363 2019-03-01
1982198214 Serenity House of Clallam County Case Management 2203 W. 18th Street, Port Angeles, WA 98363 2018-06-20
1528564325 Katelynne Mcdaniels Behavior Technician 1915 West 5th St, Port Angeles, WA 98363 2018-04-02
1730574930 Vladislav Abaturov Nurse Practitioner 4407 Fairmont Avenue, Port Angeles, WA 98363 2015-04-03
1710314703 Allan M Steigerwald Anesthesiology 4217 South Bean Road, Port Angeles, WA 98363 2013-10-04
1033431010 Jean Leslie Kruger Counselor 3080 Lower Elwha Road, Port Angeles, WA 98363 2010-02-18
1518297001 John Robert Zey General Practice 601 Diamond Vista Drive, Port Angeles, WA 98363 2010-01-05
1043540651 Connie Lou Landrum General Practice 641 Diamond Vista Dr, Port Angeles, WA 98363 2010-01-04
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568961969 North Olympic Healthcare Network Clinic/Center 240 W Front St Ste A, Port Angeles, WA 98362 2018-02-12
1154702264 North Olympic Healthcare Network Clinic/Center 240 W Front St, Suite A, Port Angeles, WA 98362-2609 2015-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447869342 Unity Care Northwest Clinic/Center 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 2020-07-27
1881219426 Healthpoint Clinic/Center 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 2020-06-09
1235778812 Seattle Indian Health Board Clinic/Center 410 2nd Avenue Ext S, Seattle, WA 98104-2876 2019-12-31
1376185694 Neighborcare Health Clinic/Center 2709 3rd Ave, Seattle, WA 98121-1217 2019-10-09
1295383958 King County Finance Clinic/Center 908 Jefferson St Fl 11, Seattle, WA 98104-2433 2019-08-27
1063069839 Sea-mar Community Health Center Clinic/Center 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 2019-08-26
1194379354 Yakima Neighborhood Health Services Clinic/Center 201 S 6th St, Yakima, WA 98901-2928 2019-07-26
1881254449 Neighborcare Health Clinic/Center 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 2019-06-17
1578028866 Neighborcare Health Clinic/Center 2119 3rd Ave, Seattle, WA 98121-2333 2019-01-31
1144703885 Healthpoint Clinic/Center 219 State Ave N, Ste 100, Kent, WA 98030 2018-09-10
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Competitor

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City PORT ANGELES
Zip Code 98363

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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