JEFFERSON HEALTHCARE WALK IN CLINIC
NPI 1194032201
Physician Assistant - Medical in Port Townsend, WA

NPI Status: Active since September 10, 2010

Contact Information

1274 7TH ST STE A
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 379-0477

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  • Organization
  • Physician Assistant
  • Medical

About JEFFERSON HEALTHCARE WALK IN CLINIC

This page provides the complete NPI Profile along with additional information for Jefferson Healthcare Walk In Clinic, a primary care provider established in Port Townsend, Washington operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1194032201 assigned on September 2010. The practitioner's primary taxonomy code is 363AM0700X with license number HAC.FS.00000085 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Jefferson Healthcare Walk In Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Jefferson Healthcare Walk In Clinic. The authorized official of this NPI record is Ms. Kathy Lee Porter Cham (Registration Coordinator)

NPI
1194032201
Provider Legal Name
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other Organization Name
JEFFERSON HEALTHCARE WALK IN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1274 7TH ST STE A PORT TOWNSEND, WA 98368
Location Phone
(360) 379-0477
Mailing Address
834 SHERIDAN ST PORT TOWNSEND, WA 98368
Mailing Phone
(360) 385-2200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-10-2010
Last Update Date
12-09-2010
Code Navigator

A primary care provider (PCP) like Jefferson Healthcare Walk In Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
HAC.FS.00000085
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

HAC.FS.00000085 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KATHY LEE PORTER CHAM

Authorized Official Title
REGISTRATION COORDINATOR
Authorized Official Phone
(360) 385-2200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194032201
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118403420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 3 + 4 + 2 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1194032201 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

PORT TOWNSEND ORTHOPAEDICS & SPORTS MEDICINE, PLLC

Specialist

1274 7TH ST STE A
PORT TOWNSEND, WA
ZIP 98368

(360) 981-3812

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Clinic/Center

(Rural Health)

1274 7TH ST STE A
PORT TOWNSEND, WA
ZIP 98368

(360) 385-2204

MACIE ANN BOOKER APRN

Nurse Practitioner

(Family)

1274 7TH ST STE A
PORT TOWNSEND, WA
ZIP 98368

(360) 385-2204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194032201, enumerated as an "organization" on September 10, 2010.

The provider is located at 1274 7TH ST STE A PORT TOWNSEND, WA 98368 and the phone number is (360) 379-0477.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.