Eventide Health PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

EVENTIDE HEALTH PLLC

Practice address

689 Airport Center
Friday Harbor, WA 98250

Phone

(360) 378-1338

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. William F House, MD

Title

Physician/Owner

Phone

(360) 378-1388

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Louise Hansen, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1033280235
  NPD

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1669010476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982501550",
            "telephone_number": "360-378-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 AIRPORT CENTER",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTIDE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "360-378-1388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Drake, LMP
• Regina Joan Dwyer, M.D.
• Mark Wheeler Earnhart, D.C.
• J. Michael Edwards, M.D., D.D.S.
• Ellen Roberts Counseling, PC
• Ingrid Susanne Fabianson, MSW, M.DIV.
• Quinn N Fihn, PMHNP-BC
• Jack Mark Fishaut, MD
• Kristina M Fisher, OTR/L
• Mark David Fleming, D.D.S.

• Rural Health Clinic/Center in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.