Port Gamble S'Klallam Tribe
NPI 1760428650 · Federally Qualified Health Center (FQHC) · Kingston, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Gamble S'Klallam Tribe is a Federally Qualified Health Center (FQHC) organization in Kingston, WA (NPI 1760428650).
Provider details
- NPI number
- 1760428650
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dallas Deguire, Administrative Director(360) 297-9601
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Port Gamble S'Klallam Health Center
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2011-01-07
Frequently asked questions
- What is Port Gamble S'Klallam Tribe's NPI number?
- Port Gamble S'Klallam Tribe's National Provider Identifier (NPI) is 1760428650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Gamble S'Klallam Tribe?
- Port Gamble S'Klallam Tribe is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Port Gamble S'Klallam Tribe located?
- Port Gamble S'Klallam Tribe's practice location on file with NPPES is 32014 Little Boston Rd Ne, Kingston, WA 98346-9734.
- What is Port Gamble S'Klallam Tribe's phone number?
- The practice phone number listed in the NPPES registry for Port Gamble S'Klallam Tribe is (360) 297-9601.
- Does Port Gamble S'Klallam Tribe accept Medicare?
- Port Gamble S'Klallam Tribe is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port Gamble S'Klallam Tribe?
- The authorized official listed on Port Gamble S'Klallam Tribe's NPPES record is Dallas Deguire, Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Gamble S'Klallam Tribe's NPI active?
- Yes — Port Gamble S'Klallam Tribe's NPI (1760428650) is active in the NPPES registry as of the last update on 2011-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.