Port Gamble S'Klallam Tribe
Port Gamble S'Klallam Tribe is a Federally Qualified Health Center (FQHC) in Kingston, Washington. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
32014 Little Boston Rd NEKingston, WA 98346-9734
Phone: (360) 297-9614
Fax: (360) 297-9614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1518585579 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Port Gamble S'Klallam Tribe |
| Authorized official | Kerstin Powell — Health Services Business Manager · (360) 297-9649 |
| Other names | Tribal Medicaid Fqhc |
| NPI enumerated | July 7, 2020 |
| Last updated in NPPES | July 7, 2020 |
| Certification date | July 7, 2020 |
| Mailing address | 32020 Little Boston Rd Ne, Kingston, WA 98346-9734 |
Other providers in Kingston
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Port Gamble S'Klallam Tribe
32014 Little Boston Rd NE, Kingston, WA 98346-9734 · (360) 297-9601