NPI Code Detail JSON Logo

1811805187 NPI number — VILLAGE AT THE HARBOR

NPI Number: 1811805187
Health Care Provider/Practitioner: VILLAGE AT THE HARBOR

Information about “1811805187” NPI (VILLAGE AT THE HARBOR) exists in 1811805187 in HTML format HTML  |  1811805187 in plain Text format TXT  |  1811805187 in PDF (Portable Document Format) PDF  |  1811805187 in an XML format XML  formats.

NPI Number : 1811805187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811805187",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SAN JUAN COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
    "ParentOrgTIN": null,
    "OrgName": "VILLAGE AT THE HARBOR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 370",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRIDAY HARBOR",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98250-0370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-378-2857",
    "MailingAddressFaxNumber": "360-378-2856",
    "FirstLinePracticeLocationAddress": "543 SPRING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRIDAY HARBOR",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98250-8057",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-378-7144",
    "PracticeLocationAddressFaxNumber": "360-472-4011",
    "EnumerationDate": "08/28/2026",
    "LastUpdateDate": "08/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WAMBSGANSS",
    "AuthorizedOfficialFirstName": "STEPHEN",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "FINANCE DIRECTOR/TREASURER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "360-378-2857",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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