Organization
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Active
Other names
Jefferson Healthcare Diabetes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEIGH SHARKO-TAYLOR (PATIENT ACCOUNTS SUPERVISOR)
(360) 385-2200
Entity
Organization
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-2282
Mailing address
1274 7TH ST STE A, PORT TOWNSEND, WA 98368-2404
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HAC.FS.00000085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008579
—
WA
Enumeration date
03/20/2014
Last updated
03/20/2014
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