Provider Demographics
NPI:1598804023
Name:KITSAP PUBLIC HEALTH DISTRICT
Entity Type:Organization
Organization Name:KITSAP PUBLIC HEALTH DISTRICT
Other - Org Name:STD
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-728-2260
Mailing Address - Street 1:345 6TH STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98337-1866
Mailing Address - Country:US
Mailing Address - Phone:360-728-2235
Mailing Address - Fax:
Practice Address - Street 1:345 6TH STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1866
Practice Address - Country:US
Practice Address - Phone:360-337-5235
Practice Address - Fax:360-337-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7901481Medicaid
WA7911803Medicaid
WAPHS 000Medicare UPIN