HERITAGE HEALTH CENTER INC; NPI #1922030444

Contact Information

HERITAGE HEALTH CENTER INC

20696 BOND RD NE
SUITE 110
POULSBO, WA 98370

Phone: 360-697-5500
Fax: 360-697-5522
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for HERITAGE HEALTH CENTER INC

NPI # 1922030444

LBN Legal business name HERITAGE HEALTH CENTER INC

Authorized official BETTY BENNETT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/07/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

WA	License #	AP30002493
WA	Medicaid	9641366

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HERITAGE HEALTH CENTER INC

Contact Information

Specialty

General Practice

NPI Profile & details for HERITAGE HEALTH CENTER INC

Reviews for HERITAGE HEALTH CENTER INC