| Port Gamble S'klallam Tribe | |
|
32014 Little Boston Rd Ne Kingston WA 98346-9734 | |
| (360) 297-9614 | |
| (360) 297-9614 |
| Full Name | Port Gamble S'klallam Tribe |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 32014 Little Boston Rd Ne, Kingston, Washington |
| Authorized Official Name and Position | Kerstin M Powell (HEALTH SERVICES BUSINESS MANAGER) |
| Authorized Official Contact | 3602979649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Gamble S'klallam Tribe 32020 Little Boston Rd Ne Kingston WA 98346-9734 Ph: (360) 297-9614 | Port Gamble S'klallam Tribe 32014 Little Boston Rd Ne Kingston WA 98346-9734 Ph: (360) 297-9614 |
| NPI Number | 1518585579 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518585579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kingston Liberty Bay Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25995 Barber Cut Off Rd Ne, Kingston, WA 98346 Phone: 360-297-6900 Fax: 360-297-2034 | |
Peninsula Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25989 Barber Cut Off Rd Ne, Kingston, WA 98346 Phone: 360-377-3776 | |
Port Gamble S'klallam Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32014 Little Boston Rd Ne, Kingston, WA 98346 Phone: 360-297-9601 Fax: 360-297-9614 | |
Vintage Direct Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346 Phone: 360-860-3020 |