MEDICARE: COUNTY OF WHATCOM

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
1	251B00000X	Case Management Agency
2	261QP2400X	Prison Health Clinic/Center

General Provider Information

NPI Number	:	1629882733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF WHATCOM

Provider Business Mailing Address
First Line	:	311 GRAND AVE FL 6
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4048
Country	:	US
Telephone Number	:	360-778-5498
Fax Number	:	360-778-5501

Provider Business Practice Location Address
First Line	:	311 GRAND AVE FL 6
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4048
Country	:	US
Telephone Number	:	360-778-5498
Fax Number	:	360-778-5501

Authorized Official
Title or Position	:	DETENTION MANAGER
Name	:	KRISTINE MARIE GLASGOW
Credential	:
Telephone Number	:	360-778-5498

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	02/07/2025

Similar Medicare Providers

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1134011554 — COUNTY OF WHATCOM
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1871436907 — NORTH BY NORTHWEST COUNSELING PLLC
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Directions to “COUNTY OF WHATCOM ” Practice Location

Language	Start Address	Practice Location

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