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Organization

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Active
Other names
Jefferson Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE GLENN (CEO)
(360) 385-2200
Entity
Organization

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-4381
Mailing address
PO BOX 104546, PASADENA, CA 91189-4546
(360) 385-2200

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
282NC0060X
Critical Access Hospital
Primary
282NC0060X
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3301900
WA
05
7173404
WA
01
8865428
MEDICARE PTAN
WA
Enumeration date
01/12/2007
Last updated
12/31/2025
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