DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SQUAXIN ISLAND MEDICAL ENCOUNTER

MEDICARE: SQUAXIN ISLAND MEDICAL ENCOUNTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/CenterWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619180981
Entity Type Code : Organization
Provider Name (Legal Business Name) : SQUAXIN ISLAND MEDICAL ENCOUNTER
Provider Business Mailing Address
First Line : 90 SE KLAH CHE MIN DR
Second Line :
City : SHELTON
State : WA
Zip : 98584-9216
Country : US
Telephone Number : 360-427-9006
Fax Number :
Provider Business Practice Location Address
First Line : 90 SE KLAH CHE MIN DR
Second Line :
City : SHELTON
State : WA
Zip : 98584-9216
Country : US
Telephone Number : 360-427-9006
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : WHITNEY JONES
Credential :
Telephone Number : 360-427-9006
Provider Enumeration Date : 05/07/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1518849637 — RACHEL MARIE ESPANTO RN
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax: 360-427-1951
1669532578 — SQUAXIN ISLAND TRIBE
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax: 360-427-1951
1821113119 — MR. CHARLES TIFFANY BARRET P.A.-C.
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax: 360-427-1951
1588782247 — MS. MICHELLE LOUISE WILEY RDH
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax: 360-427-1951
1255546578 — SQUAXIN ISLAND DENTAL CLINIC FFS
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax:
1003021338 — SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Practice Location Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
98584-9216
Practice Phone: 360-427-9006
Practice Fax:

Directions to “SQUAXIN ISLAND MEDICAL ENCOUNTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.