Healthcare Provider Details

I. General information

NPI: 1427010420
Provider Name (Legal Business Name): NHC BREMERTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOONE RD CODE 08RAZD
BREMERTON WA
98312-1898
US

IV. Provider business mailing address

1 BOONE RD CODE 08RAZD
BREMERTON WA
98312-1894
US

V. Phone/Fax

Practice location:
  • Phone: 360-475-5000
  • Fax: 877-833-9590
Mailing address:
  • Phone: 360-475-5000
  • Fax: 877-833-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH TELLEZ
Title or Position: UBO MANAGER
Credential:
Phone: 360-475-4459