CLALLAM COUNTY JUVENILE AND FAMILY SERVICES


Address: 1912 W 18th St, Port Angeles, WA 98363-5121
Phone: 3605652621

CLALLAM COUNTY JUVENILE AND FAMILY SERVICES (NPI# 1326139528) 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) 1326139528
Entity Type Organization
Organization Name CLALLAM COUNTY JUVENILE AND FAMILY SERVICES
Other Organization Name TRUE STAR RECOVERY PROGRAM
Practice Address 1912 W 18th St
Port Angeles
WA 98363-5121
Practice Telephone 3605652621
Practice Fax Number 3604574875
Mailing Telephone 3605652621
Mailing Fax Number 3604574875
Enumeration Date 2006-09-27
Last Update Date 2020-08-22
Authorized Official Name PETE PETERSON (ADMINISTRATOR)
Authorized Official Telephone 3605652628
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 8022592 05
WA PSE HEALTHTRUST 91136 01

Other Provider/Organization Names

Other Name Type Code
TRUE STAR RECOVERY PROGRAM Other Name - Individual/Organization

Office Location

Street Address 1912 W 18TH ST
City PORT ANGELES
State WA
Zip Code 98363-5121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730696535 Kay Sheila Stohr Counselor 1912 W 18th St, Port Angeles, WA 98363-5121 2018-01-03
1730604737 Jennifer Lynn Counselor 1912 W 18th St, Port Angeles, WA 98363-5121 2017-08-10
1598297442 Stephanie Beth Halvorsen Parrish Counselor 1912 W 18th St, Port Angeles, WA 98363-5121 2017-03-30
1649711169 Juli Leonard Buchmann Counselor 1912 W 18th St, Port Angeles, WA 98363-5121 2017-03-16
1306083225 Patricia Lisa Bell Counselor 1912 W 18th St, Port Angeles, WA 98363-5121 2009-01-14

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
Find all providers in zip 98363

Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891116810 Karen P Rushby Clinic/Center 939 Caroline St, Port Angeles, WA 98362-3909 2013-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780281840 Cascade Hand & Orthopedic Rehab, Inc. Clinic/Center 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 2020-10-01
1316563299 Team Vocational Services Clinic/Center 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 2020-06-17
1871149534 Body Talk, Inc Clinic/Center 1420 S Meridian Ste A, Puyallup, WA 98371-6914 2019-08-17
1982123394 Sunnyside Community Hospital Association Clinic/Center 111 S 11th Ave Ste 321, Yakima, WA 98902-3273 2017-09-18
1255871299 Power Up Therapy, LLC Clinic/Center 280 Nw Holly St, Suite 10, Issaquah, WA 98027-2815 2017-02-23
1053863035 Kids In Motion Therapy Clinic Clinic/Center 4152 Meridian St Ste 105, Pmb 17, Bellingham, WA 98226-5589 2016-10-26
1043769441 Corrie L Adams Clinic/Center 1831 8th Ave Apt 602, Seattle, WA 98101-4411 2016-09-26
1275871618 Pushing Boundaries Clinic/Center 4162 148th Ave Ne, Redmond, WA 98052-5164 2013-01-18
1366790560 Bothell Pediatric and Hand Therapy Clinic/Center 18606 Bothell Way Ne, Bothell, WA 98011-1929 2012-08-17
1881827392 Brainstorm Rehabilitation, LLC Clinic/Center 109 E 3rd Ave Ste 1, Ellensburg, WA 98926-3357 2009-08-31
Find all providers with the same taxonomy

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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