1. Home
  2. Directory
  3. Washington
  4. Port Angeles
  5. Clinic Center
  6. NPI Profile

NORTH OLYMPIC HEALTHCARE NETWORK
NPI 1568961969
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Angeles, WA

Active since February 12, 2018CLIA 50D0635261 · Microscopy
933 E 1ST ST, PORT ANGELES, WA 98362(360) 452-7891 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 15, 2023, Nov 9, 2023, Mar 27, 2023 and 3 more (6 updates tracked since 2018).

About North Olympic Healthcare Network NPPES

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

NORTH OLYMPIC HEALTHCARE NETWORK (NPI 1568961969) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Angeles, Washington and active in the NPI registry since February 2018. The organization holds a CLIA Microscopy certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists Michael S Maxwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568961969
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH OLYMPIC HEALTHCARE NETWORK
Location Address933 E 1ST STPort Angeles, WA 98362-4012
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Phone(360) 452-7891
Organization SubpartYes
Authorized OfficialMichael S MaxwellCeo · (360) 452-7891
Enumeration DateFebruary 12, 2018
Last NPPES UpdateNovember 9, 20236 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1568961969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
933 E 1ST ST, Port Angeles, WA 98362
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11026 E 1st StPort Angeles, WA 98362-4020 · Phone (360) 452-7891 · Fax (360) 452-8087
Location 2240 W Front St Ste APort Angeles, WA 98362 · Phone (360) 452-7891

Other Identifiers 2

Medicaid2114921WA
Medicaid2046838WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0635261

North Olympic Healthcare Network · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D0635261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael Maxwell
Laboratory Phone(360) 452-7891
Laboratory LocationNorth Olympic Healthcare Network240 W Front St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

CONSTANCE ANN KELLY
Dental Hygienist
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
DR. ZACHARY BIBB DMD
Dentist (General Practice)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
KAITLIN ROSE RUBITSCHUN LMHC
Counselor (Mental Health)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
MS. MAXINE CERAOLO ARNP
Nurse Practitioner (Psychiatric/Mental Health)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
TY MATHEW BOE CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432
DR. REYNOLD DREW DONOVAN D.D.S.
Dentist
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
MICHAEL WALKER
Student in an Organized Health Care Education/Training Program
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
JESSICA PETERSON CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432

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 North Olympic Healthcare Network's NPI number?

The NPI number for North Olympic Healthcare Network is 1568961969. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is North Olympic Healthcare Network located?

North Olympic Healthcare Network is located at 933 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.

What is North Olympic Healthcare Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does North Olympic Healthcare Network hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0635261) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Olympic Healthcare Network accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list North Olympic Healthcare Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Olympic Healthcare Network was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.