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JEFFERSON HEALTHCARE SWINGBED
NPI 1104950039
Medicare Defined Swing Bed Unit in Port Townsend, WA

Active since March 15, 2007CLIA Certified · 2 labs
834 SHERIDAN AVE, PORT TOWNSEND, WA 98368(360) 385-2200(360) 379-4381 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2020, Dec 17, 2018 (2 updates tracked since 2018).

About Jefferson Healthcare Swingbed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON HEALTHCARE SWINGBED (NPI 1104950039) is a healthcare organization registered as a medicare defined swing bed unit in Port Townsend, Washington and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Mike Glenn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104950039
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameJEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Location Address834 SHERIDAN AVEPort Townsend, WA 98368-2443
Mailing Address834 Sheridan AvePort Townsend, WA 98368-2443 · (360) 385-2200 · Fax (360) 379-4381
Phone(360) 385-2200
Fax(360) 379-4381
Organization SubpartNo
Authorized OfficialMike GlennCeo · (360) 385-2200
Enumeration DateMarch 15, 2007
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1104950039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in WA · H085000033
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
834 SHERIDAN AVE, Port Townsend, WA 98368
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Other Names 1

Doing Business AsJefferson Healthcare Swingbed

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D2171686

Jefferson Healthcare · Port Townsend, WA
Active · expires Apr 4, 2028
CLIA Number50D2171686
Laboratory TypeIndependent
Certificate Effective DateSeptember 6, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRyan Fortna
Laboratory Phone(360) 385-2200
Laboratory LocationJefferson Healthcare834 Sheridan St, Port Townsend, WA 98368
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 50D0635365

Jefferson Healthcare · Port Townsend, WA
Active · expires Apr 4, 2028
CLIA Number50D0635365
Laboratory TypeHospital
Certificate Effective DateJuly 21, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert Butterfield
Laboratory Phone(360) 835-2200
Laboratory LocationJefferson Healthcare834 Sheridan St, Port Townsend, WA 98368
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FAIZA N ZAFAR D.O.
Internal Medicine
834 SHERIDAN AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
IRENE F MARBLE RD, CDE
Dietitian, Registered
834 SHERIDAN AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Public Hospital District No 2's NPI number?

The NPI number for Jefferson County Public Hospital District No 2 is 1104950039. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Jefferson Healthcare Swingbed.

Where is Jefferson County Public Hospital District No 2 located?

Jefferson County Public Hospital District No 2 is located at 834 Sheridan Ave, Port Townsend, WA 98368. The listed phone number is (360) 385-2200.

What is Jefferson County Public Hospital District No 2's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Jefferson County Public Hospital District No 2 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jefferson County Public Hospital District No 2 was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.