Whidbey Island Public Hospital District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IS-323 Issued in WA

Legal business name

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Practice address

101 N Main St
Coupeville, WA 98239-3413

Phone

(360) 914-5634

Fax

(360) 678-1013

NPI assigned

Oct 20, 2006

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

WHIDBEY ISLAND PUBLC HOSPITAL DISRICTAs reported in NPPES

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

Authorized official

Name

Ronald L Telles

Title

Cfo

Phone

(360) 678-7656

Specialties & licenses 1

Addresses

Other names 1

• WhidbeyHealth Home Health Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Whidbey Island Public Hospital District

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Clinton, WA
  • NPI 1992823595

  Member Of

  NPD member

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1952483448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243603",
            "telephone_number": "360-914-5634",
            "fax_number": "360-678-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393413",
            "telephone_number": "360-914-5634",
            "fax_number": "360-678-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLC HOSPITAL DISRICT",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-678-7656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District (WhidbeyHealth Anesthesia)
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Women's Health
• Jessica Lea Wilde, LMHC

• Home Health Agency in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.