PORT GAMBLE S'KLALLAM HEALTH CENTER
NPI 1760428650
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, WA

Active since June 21, 2006
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 297-9601(360) 297-9614 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port Gamble S'klallam Health Center NPPES

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

PORT GAMBLE S'KLALLAM HEALTH CENTER (NPI 1760428650) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingston, Washington and active in the NPI registry since June 2006. The organization lists Dallas I Deguire, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1760428650
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORT GAMBLE S'KLALLAM TRIBE
Location Address32014 LITTLE BOSTON RD NEKingston, WA 98346-9734
Mailing Address32014 Little Boston Rd NeKingston, WA 98346-9734 · (360) 297-9601 · Fax (360) 297-9614
Fax(360) 297-9614
Organization SubpartNo
Authorized OfficialDallas I DeguireAdministrative Director · (360) 297-9601
Enumeration DateJune 21, 2006
Last NPPES UpdateJanuary 7, 2011
NPI 1760428650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
32014 LITTLE BOSTON RD NE, Kingston, WA 98346

Other Names 1

Doing Business AsPort Gamble S'klallam Health Center

Other Identifiers 10

Other0101820WA · L&i Clinic Id#
Medicaid7094964WA
Medicaid5031794WA
Medicaid1992825WA
Medicaid5031810WA
Medicare OSCAR/certification50-1839WA
Medicaid1980929WA
Medicaid7094972WA
OtherPO1021WA · Regence Rider#
Medicare ID-Type UnspecifiedAB40231WA · Medicare Part B

Accepted Insurance

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.

Registered Nurse (Community Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Clinic/Center (Rehabilitation, Substance Use Disorder)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Technician
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Clinic/Center (Mental Health (Including Community Mental Health Center))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346

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 Port Gamble S'klallam Tribe's NPI number?

The NPI number for Port Gamble S'klallam Tribe is 1760428650. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Port Gamble S'klallam Health Center.

Where is Port Gamble S'klallam Tribe located?

Port Gamble S'klallam Tribe is located at 32014 Little Boston Rd NE, Kingston, WA 98346. The listed phone number is (360) 297-9601.

What is Port Gamble S'klallam Tribe's specialty?

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

What insurance does Port Gamble S'klallam Tribe accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Port Gamble S'klallam Tribe 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 Port Gamble S'klallam Tribe was last updated on January 7, 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.