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).
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 |
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 Name | Type Code |
---|---|
Camano Island Health System, LLC | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CAMANO ISLAND HEALTH SYSTEM, LLC | 2110 Gull Way, Camano Island, WA 98282-7019 |
Street Address |
1283 ELGER BAY RD |
City | CAMANO ISLAND |
State | WA |
Zip Code | 98282-8375 |
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 |
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 Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992315808 | Vera Whole Health Wa, PC | Clinic/Center | 6700 Fort Dent Way Ste 100, Tukwila, WA 98188-2500 | 2020-08-05 |
1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
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 |
Find all providers with the same taxonomy |
City | CAMANO ISLAND |
Zip Code | 98282 |
Please comment or provide details below to improve the information on CAMANO ISLAND HEALTH SYSTEM, LLC.
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.