PORT GAMBLE S'KLALLAM HEALTH CENTER
NPI 1760428650
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, WA
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
Specialties & Licenses
Other Names 1
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Gamble S'klallam Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Port Gamble S'klallam Health Center, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 24Kingston, WA 98346
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Port Gamble S'klallam Tribe enrolled in Medicare?
Yes. Port Gamble S'klallam Tribe is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port Gamble S'klallam Tribe?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Port Gamble S'klallam Tribe. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (14), Mental Health Counselor (3) and Nurse Practitioner (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Port Gamble S'klallam Health Center · NPI 1760428650
Federally Qualified Health Center (FQHC) organization in Kingston, Washington. Organization record, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1760428650 (Entity type: Organization)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Port Gamble S'klallam Tribe
- **Organization subpart:** No
- **Authorized official:** Dallas Deguire, ADMINISTRATIVE DIRECTOR
## Practice location
- **Address:** 32014 LITTLE BOSTON RD NE, Kingston, WA 98346-9734
- **Phone:** (360) 297-9601 · **Fax:** (360) 297-9614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (14), Mental Health Counselor (3), Nurse Practitioner (3); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1760428650/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2011
- **Other identifiers:** Other 0101820 (WA); Medicaid 7094964 (WA); Medicaid 5031794 (WA); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760428650) · Data from the CMS NPPES public registry.