SAFE HARBOR FREE CLINIC (NPI# 1689910408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689910408 |
Entity Type | Organization |
Organization Name | SAFE HARBOR FREE CLINIC |
Practice Address |
9631 269th St Nw Stanwood WA 98292-8071 |
Mailing Address |
Po Box 741 Stanwood WA 98292-0741 |
Practice Telephone | 4258707384 |
Practice Fax Number | 3606298177 |
Mailing Telephone | 4258707384 |
Mailing Fax Number | 3606298177 |
Enumeration Date | 2012-12-26 |
Last Update Date | 2012-12-26 |
Authorized Official Name | JULIE VESS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4258707384 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
602883504 | WA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750607032 | Safe Harbor Free Clinic | Voluntary or Charitable | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2010-04-13 |
Street Address |
9631 269TH ST NW |
City | STANWOOD |
State | WA |
Zip Code | 98292-8071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598751588 | Patrick A Clark | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-09-23 |
1790254100 | Zackary Kane Hanson | Physician Assistant | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2018-11-14 |
1356794432 | Jack Eisaman | Physician Assistant | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2016-07-13 |
1770937831 | Oksana S Miller | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2016-04-14 |
1952649055 | Arnold Andre Ronning | Pediatrics | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2013-01-23 |
1639432537 | David M. Escobar | Neuromusculoskeletal Medicine & OMM | 9631 269th St Nw, Stanwood, WA 98292 | 2012-06-17 |
1750607032 | Safe Harbor Free Clinic | Voluntary or Charitable | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2010-04-13 |
1013122779 | Skagit Valley Medical Center | General Practice | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2007-05-14 |
1598970212 | Skagit Valley Medical Center, Inc Ps | General Practice | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2007-05-14 |
1467441063 | Carol L Hoeksema | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265952303 | Sabrina Ashley Barrera | Massage Therapist | 7202 267th St Nw Ste 104b, Stanwood, WA 98292 | 2017-06-20 |
1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
1629472428 | Melisa Donnelly | Speech-Language Pathologist | 9901 272nd Place Nw, Stanwood, WA 98292 | 2014-10-22 |
1790194512 | Rachelle Eve Hamaker | Massage Therapist | 9806 270th St. N.w. #c, Stanwood, WA 98292 | 2014-08-06 |
1255693909 | Gary Rhett Andelin | Emergency Medicine | 9631 - 269th Street Nw, Stanwood, WA 98292 | 2012-06-08 |
1285927160 | Rachael Anne Davis | Massage Therapist | 9009 271 Street Nw, Stanwood, WA 98292 | 2011-05-25 |
1295024610 | Linda K Ricks | Massage Therapist | 2522 256th St Nw, Stanwood, WA 98292 | 2011-04-06 |
1760789747 | Suzann Lorene Oakes | Physical Therapist | 20420 Marine Dr., Stanwood, WA 98292 | 2011-02-28 |
1588965735 | Elizabeth Ann Burr | Counselor | 23306 Marine Dr., Stanwood, WA 98292 | 2010-11-04 |
1780984898 | Jennifer Paige Hoorn | Physical Therapy Assistant | 20420 Marine Drive, Stanwood, WA 98292 | 2010-10-25 |
Find all providers in zip 98292 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699375345 | Community Health Care | Clinic/Center | 15610 89th St. Ct. Kpn, Lakebay, WA 98349-9840 | 2020-10-30 |
1063026391 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
1093351850 | Stork Midwifery | Clinic/Center | 1523 10th St, Marysville, WA 98270-4663 | 2019-11-26 |
1891343075 | Country Doctor Community Clinic | Clinic/Center | 1621 S Jackson St Ste 201, Seattle, WA 98144-2277 | 2019-08-30 |
1497314819 | Community Health Care | Clinic/Center | 22001 38th Ave E Rm 111, Spanaway, WA 98387-6875 | 2019-06-10 |
1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
1891030300 | Fred Meyer Pharmacy | Clinic/Center | 4505 South 19th, Tacoma, WA 98405 | 2012-12-10 |
1407076110 | Community Health Care | Clinic/Center | 1202 Martin Luther King Jr. Way, Tacoma, WA 98405 | 2007-04-26 |
1831317098 | Community Health Care | Clinic/Center | 3611 S D St, Suite 7, Tacoma, WA 98418-6813 | 2007-04-23 |
1194943308 | Community Health Care | Clinic/Center | 1708 East 44th St, Tacoma, WA 98404-4611 | 2007-04-23 |
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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.