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NPI Code Detail

MEDICARE: SAFE HARBOR FREE CLINIC

MEDICARE: SAFE HARBOR FREE CLINIC
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
1261QC1500XCommunity Health Clinic/Center602883504WA

General Provider Information

NPI Number : 1689910408
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE HARBOR FREE CLINIC
Provider Business Mailing Address
First Line : PO BOX 741
Second Line :
City : STANWOOD
State : WA
Zip : 98292-0741
Country : US
Telephone Number : 425-870-7384
Fax Number : 360-629-8177
Provider Business Practice Location Address
First Line : 9631 269TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-8071
Country : US
Telephone Number : 425-870-7384
Fax Number : 360-629-8177
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JULIE VESS
Credential :
Telephone Number : 425-870-7384
Provider Enumeration Date : 12/26/2012
Last Update Date : 12/26/2012

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Directions to “SAFE HARBOR FREE CLINIC ” Practice Location

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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.

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