# JEFFERSON HEALTHCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346639051
- **Authorized official:** MR. MIKE GLENN (CEO)
- **Authorized official phone:** (360) 385-2200

## Contact information

- **Practice address:** 834 SHERIDAN ST, DEPARTMENT OF PHARMACY, PORT TOWNSEND, WA 98368-2443
- **Practice address phone:** (360) 385-2200
- **Practice address fax:** (360) 385-6925
- **Mailing address:** 834 SHERIDAN ST, DEPARTMENT OF PHARMACY, PORT TOWNSEND, WA 98368-2443
- **Mailing address phone:** (360) 385-2200
- **Mailing address fax:** (360) 385-6925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PH 60291084 | WA | Yes |

## Other

- **Enumeration date:** 01/19/2015
- **Last updated:** 01/19/2015