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UNITED BACKCARE PS NPI 1386751774


NPI Information

NPI: 1386751774
Provider Name: UNITED BACKCARE PS

Doing Business As: PACIFIC REHABILITATION CENTERS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 50D1106610

Address:
126 15TH ST SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 445-8663
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UNITED BACKCARE PS is a pain clinic center in Puyallup, WA. UNITED BACKCARE PS NPI is 1386751774. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Rehabilitation Centers.

The provider's business location address is:

126 15TH ST SE
PUYALLUP, WA
ZIP 98372-409
Phone: (253) 445-8663
Fax: (253) 445-8342

The provider's authorized official is Mary E Spores .
The authorized official title is Owner and has the following contact phone number (425) 513-8509.

The CLIA number assigned to this NPI record is 50D1106610 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 11/8/2023.


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
1261QP3300XClinic/CenterPainYes

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

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