Organization
OLYMPIC COMMUNITY ACTION PROGRAMS
Active
Other names
OlyCAP Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA R RAND (OLYCAP MEDICAID BILLING SPECIALIST)
(360) 452-4726
Entity
Organization
Contact information
Practice address
228 W 1ST ST, STE J, PORT ANGELES, WA 98362-2639
(360) 452-4726
(360) 457-4331
Mailing address
228 W 1ST ST, STE J, PORT ANGELES, WA 98362-2639
(360) 452-4726
(360) 457-4331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
600-443-619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026255
—
WA
05
—
5900691
—
WA
Enumeration date
05/12/2010
Last updated
01/18/2023
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