NPIMap

Organization Active NPI

Safe Harbor Free Clinic

  • Community Health Clinic/Center
  • Stanwood, WA
National Provider Identifier
1689910408
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
602883504 Issued in WA
Legal business name
SAFE HARBOR FREE CLINIC
Practice address
9631 269TH St NW
Stanwood, WA 98292-8071
Phone
(425) 870-7384
Fax
(360) 629-8177
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Julie Vess
Title
Executive Director
Phone
(425) 870-7384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 602883504 WA Primary

Addresses

Primary practice location

9631 269TH St NW
Stanwood, WA 98292-8071

Mailing address

PO Box 741
Stanwood, WA 98292-0741
Phone (425) 870-7384

National Provider Directory

National Provider Directory
Tax ID family
Safe Harbor Free Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1689910408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982920741",
            "telephone_number": "425-870-7384",
            "fax_number": "360-629-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 269TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928071",
            "telephone_number": "425-870-7384",
            "fax_number": "360-629-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "VESS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-870-7384"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WA",
            "license": "602883504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.