WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT NPI 1467497636

NPI Information

NPI: 1467497636
Provider Name: WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Doing Business As: WHIDBEYHEALTH PRIMARY CARE-GOLDIE ST.

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1300 NE GOLDIE ST
OAK HARBOR, WA
ZIP 98277
Phone: (360) 679-5590
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WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT is a rural health clinic center in Oak Harbor, WA. WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT NPI is 1467497636. The provider is registered as an organization entity type.
The provider Is Doing Business As Whidbeyhealth Primary Care-goldie St..

The provider's business location address is:

1300 NE GOLDIE ST
OAK HARBOR, WA
ZIP 98277-832
Phone: (360) 679-5590
Fax: (360) 240-4029

The provider's authorized official is Garth A Miller .
The authorized official title is Coo and has the following contact phone number (360) 678-7656.

The CLIA number assigned to this NPI record is 50D1047381 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		000092	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7105422	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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