NPIMap

Organization Active NPI

Jamestown S'Klallam Tribe

Doing business as Jamestown Healing Clinic

  • Dentist
  • Sequim, WA
National Provider Identifier
1306506415
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAMESTOWN S'KLALLAM TRIBE
Doing business as
Jamestown Healing Clinic
Practice address
526 S 9TH Ave
Sequim, WA 98382-3626
Phone
(360) 681-7755
Fax
(360) 681-5999
NPI assigned
Dec 30, 2021
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy L. Lowe
Title
Health Administrator
Phone
(360) 681-4656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Dentist 122300000X NU Primary

Addresses

Primary practice location

526 S 9TH Ave
Sequim, WA 98382-3626

Mailing address

526 S 9TH Ave
Sequim, WA 98382-3626
Phone (360) 681-7755

Other names 1

  • Jamestown Healing Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamestown S'Klallam Tribe6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

526 S 9th Ave
Sequim, WA 98382
Phone (360) 681-7755

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1306506415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S 9TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823626",
            "telephone_number": "360-681-7755",
            "fax_number": "360-681-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S 9TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823626",
            "telephone_number": "360-681-7755",
            "fax_number": "360-681-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN S'KLALLAM TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "360-681-4656"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestown Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jamestown Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.