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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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: July 19, 2026.

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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

Phone(360) 297-9601

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

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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

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

DR. PIERO FRANCIS SANDRI MD

Specialist