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SAN JUAN HEALTHCARE PC
NPI 1407055742
Clinic/Center - Primary Care in Friday Harbor, WA

Active since July 17, 2007
689 AIRPORT CENTER DR SUITE B, FRIDAY HARBOR, WA 98250(360) 378-1338(360) 378-8130 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Juan Healthcare Pc NPPES

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

SAN JUAN HEALTHCARE PC (NPI 1407055742) is a healthcare organization registered as a primary care in Friday Harbor, Washington and active in the NPI registry since July 2007. The organization lists John Burk Gossom, Owner, as its authorized official.

NPPES Registry Identity

NPI1407055742
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAN JUAN HEALTHCARE PC
Location Address689 AIRPORT CENTER DR SUITE BFriday Harbor, WA 98250
Mailing AddressPo Box 1550Friday Harbor, WA 98250-1550 · (360) 378-1338 · Fax (360) 378-1830
Phone(360) 378-1338
Fax(360) 378-8130
Organization SubpartNo
Authorized OfficialJohn Burk GossomOwner · (360) 378-1338
Enumeration DateJuly 17, 2007
Last NPPES UpdateMarch 4, 2011
✔ NPI 1407055742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
689 AIRPORT CENTER DR SUITE B, Friday Harbor, WA 98250
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Other Identifiers 18

Other7990344WA · Aetna
Other361929500WA · Parks Natl L&i
OtherPENDINGWA · Dshs
Other50D0990556WA · Clia
Other9451SAWA · Regence
OtherPOO425655DG2646WA · Railroad Medicare
Medicare UPINI46552WA
OtherPENDINGWA · Medicare
Other612622200WA · Us Natl Park Service
Medicaid7138829WA
OtherJ5122WA · Railroad Medicare
Other0152516WA · Labor And Industries
Other602732862WA · Ubi
Other748121WA · Group Health Cooperative
Other8937841WA · Crime Victims
Medicare UPINPENDINGWA
Other612622200WA · Us Customas & Border Protection
Medicaid7135981WA

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 San Juan Healthcare PC's NPI number?

The NPI number for San Juan Healthcare PC is 1407055742. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is San Juan Healthcare PC located?

San Juan Healthcare PC is located at 689 Airport Center Dr Suite B, Friday Harbor, WA 98250. The listed phone number is (360) 378-1338.

What is San Juan Healthcare PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for San Juan Healthcare PC was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.