Healthcare Provider Details

I. General information

NPI: 1710182787
Provider Name (Legal Business Name): SWINOMISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8212 S. MARCH POINT ROAD
ANACORTES WA
98221-8684
US

IV. Provider business mailing address

8212 S. MARCH POINT ROAD
ANACORTES WA
98221-8684
US

V. Phone/Fax

Practice location:
  • Phone: 360-588-2800
  • Fax: 360-588-2808
Mailing address:
  • Phone: 360-588-2800
  • Fax: 360-588-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberCP00002083
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: BEVERLY KEYES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 360-588-2800