Provider Demographics
NPI:1619972932
Name:HELEN ANN JAMES MD INC PS
Entity Type:Organization
Organization Name:HELEN ANN JAMES MD INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-676-0972
Mailing Address - Street 1:3001 SQUALICUM PKWY
Mailing Address - Street 2:STE 5
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1950
Mailing Address - Country:US
Mailing Address - Phone:360-676-0972
Mailing Address - Fax:360-671-4423
Practice Address - Street 1:3001 SQUALICUM PKWY
Practice Address - Street 2:STE 5
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1950
Practice Address - Country:US
Practice Address - Phone:360-676-0972
Practice Address - Fax:360-671-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020348174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1005982Medicaid
G001400109Medicare PIN
A09456Medicare UPIN