WHITEHORSE FAMILY MEDICINE INC. P.S. NPI 1073687174

NPI Information

NPI: 1073687174
Provider Name: WHITEHORSE FAMILY MEDICINE, INC., P.S.

Former Legal Business Name: WHITEHORSE FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
875 WESLEY ST STE 250
ARLINGTON, WA
ZIP 98223
Phone: (360) 435-2233
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WHITEHORSE FAMILY MEDICINE, INC., P.S. is a primary care clinic center in Arlington, WA. WHITEHORSE FAMILY MEDICINE, INC., P.S. NPI is 1073687174. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Whitehorse Family Medicine.

The provider's business location address is:

875 WESLEY ST STE 250
ARLINGTON, WA
ZIP 98223-668
Phone: (360) 435-2233
Fax: (360) 435-3966

The provider's authorized official is Karen M Tendering .
The authorized official title is Clinic Administrator and has the following contact phone number (360) 435-2233.

The CLIA number assigned to this NPI record is 50D0633974 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7092679	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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