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SOUTH SOUND INTERNAL MEDICINE PLLC NPI 1104987734


NPI Information

NPI: 1104987734
Provider Name: SOUTH SOUND INTERNAL MEDICINE PLLC
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
3425 ENSIGN RD NE
SUITE 220
OLYMPIA, WA
ZIP 98506
Phone: (360) 491-1112
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SOUTH SOUND INTERNAL MEDICINE PLLC is a contractor in Olympia, WA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). SOUTH SOUND INTERNAL MEDICINE PLLC NPI is 1104987734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3425 ENSIGN RD NE
SUITE 220
OLYMPIA, WA
ZIP 98506-425
Phone: (360) 491-1112
Fax: (360) 493-8160

The provider's authorized official is Cathy Hill .
The authorized official title is Practice Administrator and has the following contact phone number (360) 491-1112.

The enumeration date for this NPI number is 12/13/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171W00000XContractorGAB20096WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10149442OTHERWASHINGTONLABOR & INDUSTRIES
23911OTHERWASHINGTONCOUNTY
37106826MEDICAIDWASHINGTON

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.