HERITAGE HEALTH CENTER INC – NPI #1922030444
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

HERITAGE HEALTH CENTER INC is a provider located in POULSBO, WA. NPPES has assigned the NPI number 1922030444 to HERITAGE HEALTH CENTER INC on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BETTY A BENNETT. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HERITAGE HEALTH CENTER INC below.

NPI Profile for
HERITAGE HEALTH CENTER INC

NPI Number
1922030444
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HERITAGE HEALTH CENTER INC
Former Legal Business Name: BETTY A BENNETT
Primary location
20696 BOND RD NE
SUITE 110
POULSBO, WA 98370
Phone: (360) 697-5500 Fax: (360) 697-5522
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BETTY BENNETT
OWNER
Phone: (360) 697-5500
Updated
Identifiers

Identifiers for HERITAGE HEALTH CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA9641366
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
WA AP30002493

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.