JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
NPI 1801188073
Clinic/Center - Rural Health in Port Ludlow, WA

NPI Status: Active since May 06, 2011

Contact Information

89 BREAKER LN
PORT LUDLOW, WA
ZIP 98365
Phone: (360) 385-2200
Fax: (360) 379-2282

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 50D0882476
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-04-2028

About JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2

This page provides the complete NPI Profile along with additional information for Jefferson County Public Hospital District No 2, a primary care provider established in Port Ludlow, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1801188073 assigned on May 2011. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated December 2025. The authorized official of this NPI record is Mike Glenn (Ceo)

NPI
1801188073
Provider Name
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Entity Type
Organization
Location Address
89 BREAKER LN PORT LUDLOW, WA 98365
Location Phone
(360) 385-2200
Location Fax
(360) 379-2282
Mailing Address
PO BOX 104546 PASADENA, CA 91189
Mailing Phone
(360) 385-2200
Mailing Fax
(360) 379-2282
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2011
Last Update Date
12-31-2025
Code Navigator

A primary care provider (PCP) like Jefferson County Public Hospital District No 2 sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIKE GLENN

Authorized Official Title
CEO
Authorized Official Phone
(360) 385-2200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0882476
Facility Type
Other
Certificate Effective Date
July 27, 2000
Certificate Expiration Date
April 04, 2028
Laboratory Director
ALLISON BERRY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Jefferson County Public Hospital District No 2 in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801188073, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 2 + 8 + 1 + 6 + 0 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801188073.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801188073, enumerated as an "organization" on May 06, 2011.

The provider is located at 89 BREAKER LN PORT LUDLOW, WA 98365 and the phone number is (360) 385-2200.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.