NPIMap

Organization Active NPI

Harrison Medical Center

Doing business as Harrison Urgent Care

  • Urgent Care Clinic/Center
  • Port Orchard, WA
National Provider Identifier
1679613244
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HARRISON MEDICAL CENTER
Doing business as
Harrison Urgent Care
Practice address
450 S Kitsap Blvd
Suite 100
Port Orchard, WA 98366-3773
Phone
(360) 744-6275
Fax
(360) 744-6270
NPI assigned
Feb 6, 2007
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HARRISON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Mr. David Schultz
Title
President
Phone
(360) 744-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

450 S Kitsap Blvd
Suite 100
Port Orchard, WA 98366-3773

Mailing address

2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 744-3911

Other identifiers 2

IdentifierTypeStateIssuer
1016140MedicaidWA
104767OtherWALABOR AND INDUSTRIES

Other names 1

  • Harrison Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Emergency Physicians-Ha

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1679613244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-744-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD",
            "address_2": "SUITE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663773",
            "telephone_number": "360-744-6275",
            "fax_number": "360-744-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRISON MEDICAL CENTER",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-744-6505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016140",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "104767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.