Jamestown Family Health Clinic – Federally Qualified Health Center (FQHC), NPI 1134181555

Jamestown Family Health Clinic is a healthcare provider. based in Sequim, Washington. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Jamestown Family Health Clinic is 1134181555

Main info

Organization
Name
Jamestown Family Health Clinic
NPI
1134181555
Phone
(360) 683-5900
Address
808 N 5TH AVE
Authorized Official
WILLIAM RON ALLEN EXECUTIVE DIRECTOR
Enumeration Date
3 April 2006
Last Update Date
10 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Jamestown Family Health Clinic

  • 808, North 5th Avenue, Sequim, Clallam County, Washington, 98382, United States

    SEQUIM, WA 983823045

    Phone: (360) 683-5900

    Fax: (360) 582-4800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100527000851OFederally Qualified Health Center (Fqhc)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98382)

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Reviews

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Frequently asked questions

Is there an official ID for Jamestown Family Health Clinic in U.S. healthcare records?
The official identifier for Jamestown Family Health Clinic is NPI 1134181555.
Active or inactive — what applies to Jamestown Family Health Clinic?
You should see Jamestown Family Health Clinic as active in CMS-hosted NPPES data.
What clinical focus is listed for Jamestown Family Health Clinic?
At a glance, Jamestown Family Health Clinic is tied to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where in Washington is Jamestown Family Health Clinic registered?
Use Sequim, Washington as the headline location for Jamestown Family Health Clinic here.
Does Jamestown Family Health Clinic accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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Jamestown Family Health Clinic

Federally Qualified Health Center (FQHC)
808 N 5TH AVE
NPI: 1932957453