CAMANO ISLAND HEALTH SYSTEM, LLC


Address: 1283 Elger Bay Rd, Camano Island, WA 98282-8375
Phone: 3605722202

CAMANO ISLAND HEALTH SYSTEM, LLC (NPI# 1538782529) 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) 1538782529
Entity Type Organization
Organization Name CAMANO ISLAND HEALTH SYSTEM, LLC
Practice Address 1283 Elger Bay Rd
Camano Island
WA 98282-8375
Practice Telephone 3605722202
Practice Fax Number 3605722232
Mailing Telephone 3605722202
Mailing Fax Number 3605722232
Enumeration Date 2020-05-25
Last Update Date 2020-05-25
Authorized Official Name DR. BRYAN KENT COOPER (MANAGER)
Authorized Official Telephone 3605722202
Authorized Official Credential DNP, MSN, ARNP,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
N 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Camano Island Health System, LLC Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CAMANO ISLAND HEALTH SYSTEM, LLC 2110 Gull Way, Camano Island, WA 98282-7019

Office Location

Street Address 1283 ELGER BAY RD
City CAMANO ISLAND
State WA
Zip Code 98282-8375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013043454 Nancy Kay Schmitz Contractor 1283 Elger Bay Rd, Camano Island, WA 98282-8375 2007-02-27
1689900466 Bryan Kent Cooper Registered Nurse 1283 Elger Bay Rd, Camano Island, WA 98282-8375 2009-10-28
1730342510 Karen Ann Boyd Acupuncturist 1283 Elger Bay Rd, Camano Island, WA 98282-8375 2008-07-02
1265604201 Christine Allison Pitts Contractor 1283 Elger Bay Rd, Camano Island, WA 98282-8375 2008-03-31
1427175231 Kathy J Bateman Chiropractor 1283 Elger Bay Rd, Camano Island, WA 98282-8375 2007-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073012449 Brenda Grinde Massage Therapist 122 W Mountain Rd, Camano Island, WA 98282 2018-02-12
1083122873 Kathleen Jensen Bouranova Registered Nurse 1320 Sw Camano Dr, Camano Island, WA 98282 2018-01-16
1770968117 Lisanne Olsen Massage Therapist 1143 Sr 532, Camano Island, WA 98282 2015-07-28
1063690501 Anna Christine Mitchell Specialist 927 N.w. Camano Drive, Camano Island, WA 98282 2008-02-06
1558420489 Martin Anthony Zimmerman Dentist 810 N Rekdal Road, Camano Island, WA 98282 2006-12-06
1225112360 Mark Dudley Phibbs Pharmacist 370 N. East Camano Dr., Camano Island, WA 98282 2006-10-25
1437264322 Matthew Robert Crouthamel Surgery 18 Anadar Pl, Camano Island, WA 98282 2006-08-20
1487125654 Susan Land Massage Therapist 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 2018-12-16
1669982500 Shelby Seay Massage Therapist 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 2017-10-05
1144388075 Randall A Thompson Dds Ps Dentist 810 Rekdal Rd, Carmano Island, WA 98282 2006-12-04
Find all providers in zip 98282

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1922622158 Vera Whole Health Wa, PC Clinic/Center 16009 E Indiana Ave, Spokane Valley, WA 99216 2020-06-03
1578183729 Family Care Network Pllc Clinic/Center 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 2020-04-17
1548800451 Vera Whole Health Wa PC Clinic/Center 1601 N Division St, Spokane, WA 99207-2427 2020-01-08
1821634312 Columbia Basin Mobile Medicine LLC Clinic/Center 1357 Platinum Pl, West Richland, WA 99353-5108 2019-11-20
1063056497 A Community Wellness Clinic LLC Clinic/Center 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 2019-10-29
1013550987 Rejuventa Medical Corp. Clinic/Center 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 2019-10-23
1023668407 Vera Whole Health Wa, PC Clinic/Center 4933 Evergreen Way, Everett, WA 98203-2828 2019-09-17
1679042501 Family and Wellness Medicine Clinic/Center 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 2018-11-20
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Competitor

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City CAMANO ISLAND
Zip Code 98282

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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