JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
NPI 1780897074
Clinic/Center - Rural Health in Quilcene, WA
About Jefferson County Public Hospital District No 2 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI 1780897074), doing business as South County Medical Clinic, is a healthcare organization registered as a rural health in Quilcene, Washington and active in the NPI registry since May 2007. The organization lists Mike Glenn, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Jefferson County Public Hospital District No 2 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
206Medicare enrollment records show 206 clinicians reassign Medicare billing to Jefferson County Public Hospital District No 2, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 206Source: 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 Jefferson County Public Hospital District No 2's NPI number?
The NPI number for Jefferson County Public Hospital District No 2 is 1780897074. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as South County Medical Clinic.
Where is Jefferson County Public Hospital District No 2 located?
Jefferson County Public Hospital District No 2 is located at 294843 State Highway 101, Quilcene, WA 98376. The listed phone number is (360) 765-3111.
What is Jefferson County Public Hospital District No 2's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Jefferson County Public Hospital District No 2 enrolled in Medicare?
Yes. Jefferson County Public Hospital District No 2 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson County Public Hospital District No 2?
According to the CMS Revalidation Reassignment List (October 2026 release), 206 clinicians in 29 Medicare specialties reassign their Medicare billing to Jefferson County Public Hospital District No 2. 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 Diagnostic Radiology (42), Nurse Practitioner (32) and Internal Medicine (22). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson County Public Hospital District No 2 accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Jefferson County Public Hospital District No 2 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 Jefferson County Public Hospital District No 2 was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Jefferson County Public Hospital District No 2 · NPI 1780897074
Rural Health organization in Quilcene, Washington. Organization record, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1780897074 (Entity type: Organization)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** South County Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mike Glenn, CEO
## Practice location
- **Address:** 294843 STATE HIGHWAY 101, Quilcene, WA 98376
- **Phone:** (360) 765-3111 · **Fax:** (360) 765-3811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 206 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (42), Nurse Practitioner (32), Internal Medicine (22); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1780897074/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2025
- **Other identifiers:** Medicaid 7056401 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780897074) · Data from the CMS NPPES public registry.