Organization
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Active
Other names
JEFFERSON UROLOGY CLINIC, Jefferson Healthcare Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GLENN (CEO)
(360) 385-2200
Entity
Organization
Contact information
Practice address
1274 7TH ST STE B, PORT TOWNSEND, WA 98368-2404
(360) 385-2905
(360) 385-6796
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-2256
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
HAC.FS.00000085
WA
Other
Enumeration date
03/27/2015
Last updated
10/29/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up