FQHC — tribal (638) · WA
PORT GAMBLE S'KLALLAM TRIBE
- 0Registered locations
- 2Associated locations
- 3Contract pharmacies
- 2With no end date
- 1 January 2001In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “PORT GAMBLE S'KLALLAM TRIBE” (340B ID FQHC638396), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638396
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2001
- Certification date
- 2 February 2026
- Record last edited
- 3 September 2026
Identifiers
- 340B ID
- FQHC638396
- Entity type as filed
- FQHC638
- NPI
- 1760428650 (WA), 1922970458 (WA)
32020 LITTLE BOSTON ROAD NE - ADMIN ADDRESS, 32020 LITTLE BOSTON ROAD NE - CLINIC ADDRESS, KINGSTON WA 98346
Associated locations
| Organization | Address | Where |
|---|---|---|
| PORT GAMBLE S'KLALLAM TRIBE | 32020 LITTLE BOSTON ROAD NE - ADMIN ADDRESS, 32020 LITTLE BOSTON ROAD NE - CLINIC ADDRESS | KINGSTON WA 98346 |
| Port Gamble S'Klallam Pharmacy | 32014 Little Boston RD NE | Kingston WA 98346 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ALBERTSON'S LLC | KINGSTON, WA | 1 April 2017 | no end date filed |
| THRIFTY PAYLESS, INC. | KINGSTON, WA | 1 August 2010 | no end date filed |
| KITSAP PHARMACY AT THE | POULSBO, WA | 1 January 2002 | 24 January 2025 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.