The Olympia Free Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

602957992 Issued in WA

Legal business name

THE OLYMPIA FREE CLINIC

Practice address

108 State Ave NW
Olympia, WA 98501-8249

Phone

(360) 890-4074

NPI assigned

Jan 19, 2017

Organization subpart

No

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

Authorized official

Name

Darlene Hein, MPH

Title

Executive Director

Phone

(360) 515-0788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffani Buck, ARNP

  • Women's Health Nurse Practitioner
  • Olympia, WA
  • NPI 1609398346
  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1861939597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STATE AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018249",
            "telephone_number": "360-890-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STATE AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018249",
            "telephone_number": "360-890-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OLYMPIA FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-515-0788",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "602957992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.