Peninsula Childrens Clinic Inc

LBN: Peninsula Childrens Clinic Inc
Peninsula Childrens Clinic Inc is an health care organization with primary practice located at 902 E Caroline , Port Angeles WA 98362. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Peninsula Childrens Clinic Inc can be contacted via phone (360) 457-8578, or through Weller, Jeffrey Charles via phone (360) 457-8578.

Contact Information

Primary practice address
902 E Caroline Port Angeles WA 98362
Phone: (360) 457-8578
Fax: (360) 457-4841
Website:
Map and Directions
Authorized official contact:
Name: Weller, Jeffrey Charles Doctor of Medicine (MD)
Phone: (360) 457-8578

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 601481297 Washington

Profile Details

NPI number 1528025293
LBN Legal business name Peninsula Childrens Clinic Inc
DBA Doing business as
Authorized official Weller, Jeffrey Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 5th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528025293 NPPES
Washington Other 7058894 DSHS

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