OLYMPIC PENINSULA HEALTH SERVICES (NPI# 1700373321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700373321 |
| Entity Type | Organization |
| Organization Name | OLYMPIC PENINSULA HEALTH SERVICES |
| Practice Address |
661 Ness Corner Rd Port Hadlock WA 98339-9410 |
| Mailing Address |
Po Box 574 Port Hadlock WA 98339-0574 |
| Practice Telephone | 3609125777 |
| Practice Fax Number | 2064726035 |
| Mailing Telephone | 3605314272 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | ANNIE FAILONI (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3605314272 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OLYMPIC PENINSULA HEALTH SERVICES PS | 10273 Rhody Dr, Chimacum, WA 98325-8709 |
| Street Address |
661 NESS CORNER RD |
| City | PORT HADLOCK |
| State | WA |
| Zip Code | 98339-9410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245257054 | Ann M Failoni | Nurse Practitioner | 661 Ness Corner Rd, Port Hadlock, WA 98339 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760868129 | Cristie Anne Vancamp | Massage Therapist | 863-d Ness Corner Road, Port Hadlock, WA 98339 | 2015-08-07 |
| 1689956567 | Tri-area Rx LLC | Pharmacy | 65 Oak Bay Road, Port Hadlock, WA 98339 | 2011-09-15 |
| 1063793198 | Renaldo Ganir | Pharmacist | 65 Oak Bay Rd, Port Hadlock, WA 98339 | 2011-09-02 |
| 1942474887 | Lisa Madelle Bottomley | Counselor | 219c West Patison, Port Hadlock, WA 98339 | 2008-04-22 |
| 1154504330 | Laura Lee Nastri | Counselor | 101 Oak Bay Road, Port Hadlock, WA 98339 | 2007-12-11 |
| 1083834675 | Dentistry Northwest | Dentist | 131 Randolph St, Port Hadlock, WA 98339 | 2007-04-26 |
| 1407937501 | John David Barrett | Dentist | 131 Randolph Street, Port Hadlock, WA 98339 | 2006-10-17 |
| 1467542985 | David O Schores | Optometrist | 150 Chimacum Rd., Port Hadlock, WA 98339 | 2006-10-13 |
| 1518971498 | Christina M Hellwich | Physical Therapist | 27 Colwell, Port Hadlock, WA 98339 | 2006-07-28 |
| 1912951765 | Eric Christian Nelson | Nurse Practitioner | 121 Oak Bay Rd, Port Hadlock, WA 98339 | 2006-05-19 |
| Find all providers in zip 98339 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992752 | Puget Sound Center for Integrated Health LLC | Internal Medicine | 2302 S Union Ave, Suite C30, Tacoma, WA 98405-1300 | 2016-02-12 |
| 1144603853 | Vista Treatment Center | Internal Medicine | 6917 W Grandridge Blvd, Kennewick, WA 99336-7737 | 2015-06-30 |
| 1053357335 | Nicole M. Ingrisano | Internal Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-06-22 |
| 1255309035 | Wanjiku Njoroge | Internal Medicine | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-03-09 |
| City | PORT HADLOCK |
| Zip Code | 98339 |
Please comment or provide details below to improve the information on OLYMPIC PENINSULA HEALTH SERVICES.
| 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.