Healthcare Provider Details

I. General information

NPI: 1265571806
Provider Name (Legal Business Name): HARRISON MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 CHERRY AVE
BREMERTON WA
98310-4229
US

IV. Provider business mailing address

2520 CHERRY AVE
BREMERTON WA
98310-4229
US

V. Phone/Fax

Practice location:
  • Phone: 360-744-3911
  • Fax:
Mailing address:
  • Phone: 360-744-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID SCHULTZ
Title or Position: PRESIDENT
Credential:
Phone: 360-744-6505