Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

San Juan Healthcare PC

Q: What type of organization is San Juan Healthcare PC?

San Juan Healthcare PC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Primary Care Clinic/Center in Friday Harbor, WA · enumerated 2007 · authorized official John Gossom, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407055742

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name San Juan Healthcare PC

Practice address 689 Airport Center Dr Suite B, Friday Harbor, WA, 98250

Phone (360) 378-1338

Fax (360) 378-8130

Enumeration date Jul 17, 2007

Last updated in NPPES Mar 4, 2011

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name John Gossom

Title Owner

Phone (360) 378-1338

Other identifiers

Identifier	Type	State	Issuer
612622200	Other	WA	US NATL PARK SERVICE
8937841	Other	WA	CRIME VICTIMS
602732862	Other	WA	UBI
J5122	Other	WA	RAILROAD MEDICARE
PENDING	Other	WA	MEDICARE
50D0990556	Other	WA	CLIA
612622200	Other	WA	US CUSTOMAS & BORDER PROTECTION
7138829	Medicaid	WA	-
9451SA	Other	WA	REGENCE
POO425655DG2646	Other	WA	RAILROAD MEDICARE
0152516	Other	WA	LABOR AND INDUSTRIES
748121	Other	WA	GROUP HEALTH COOPERATIVE
PENDING	Other	WA	DSHS
7135981	Medicaid	WA	-
7990344	Other	WA	AETNA
361929500	Other	WA	PARKS NATL L&I

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is San Juan Healthcare PC?

San Juan Healthcare PC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-04.