CONVENIENT PHYSICIANS SERVICES PS NPI 1225251390

NPI Information

NPI: 1225251390
Provider Name: CONVENIENT PHYSICIANS SERVICES PS

Other Name: CONVENIENT HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1052 DOUGLAS ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 425-5845
Get Directions

CONVENIENT PHYSICIANS SERVICES PS is a family medicine in Longview, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CONVENIENT PHYSICIANS SERVICES PS NPI is 1225251390. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Convenient Healthcare.

The provider's business location address is:

1052 DOUGLAS ST
LONGVIEW, WA
ZIP 98632-102
Phone: (360) 425-5845
Fax: (360) 577-9066

The provider's authorized official is Bert Michael Hale .
The authorized official title is President and has the following contact phone number (360) 425-5845.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 10/9/2007.

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	207Q00000X	Family Medicine		MD00016670	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	40060	OTHER	WASHINGTON	LABOR AND INDUSTRY
2	F40634	MEDICARE UPIN	WASHINGTON
3	7048580	MEDICAID	WASHINGTON
4	060706	OTHER	WASHINGTON	REGENCE BLUE CROSS -WA

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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