Lower Elwha Maternal Support Services
LBN: Lower Elwha Maternal Support Services
Lower Elwha Maternal Support Services is an health care organization with primary practice located at 243511 W Highway 101 , Port Angeles WA 98363-9472. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Lower Elwha Maternal Support Services can be contacted via phone (360) 452-6252, or through Mceachrane-Gross, Florence Patricia via phone (360) 452-6252.
Contact Information
Primary practice address
243511 W Highway 101
Port Angeles WA 98363-9472
Phone: (360) 452-6252
Fax: (360) 452-6274
Website:
Authorized official contact:
Name: Mceachrane-Gross, Florence Patricia Doctor of Medicine (MD)
Phone: (360) 452-6252
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1205151388 |
|---|---|
| LBN Legal business name | Lower Elwha Maternal Support Services |
| DBA Doing business as | |
| Authorized official | Mceachrane-Gross, Florence Patricia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 1st, 2010 |
| Last updated | Apr 19th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205151388 | NPPES |
| Washington | MEDICAID | 7402480 |
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