Lower Elwha Maternal Support Services
NPI #1205151388 in Port Angeles, Washington
Provider Information
- NPI Number
- 1205151388
- Entity Type
- Organization
- Organization Name
- Lower Elwha Maternal Support Services
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOWER ELWHA KLALLAM TRIBE
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 1, 2010
- Last Updated
- Apr 19, 2010
Practice Location
- Address
- 243511 W HIGHWAY 101
- City
- Port Angeles
- State
- Washington
- ZIP Code
- 98363-9472
- Phone
- (360) 452-6252
Authorized Official
- Name
- FLORENCE PATRICIA MCEACHRANE-GROSS, MD
- Title
- MEDICAL & HEALTH DIRECTOR
- Phone
- (360) 452-6252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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