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BLACK HILLS PEDIATRICS INC PS NPI 1437319076


NPI Information

NPI: 1437319076
Provider Name: BLACK HILLS PEDIATRICS INC PS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 50D2143299

Address:
2112 CATON WAY SW
OLYMPIA, WA
ZIP 98502
Phone: (360) 754-1629
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BLACK HILLS PEDIATRICS INC PS is a pediatrics in Olympia, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BLACK HILLS PEDIATRICS INC PS NPI is 1437319076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2112 CATON WAY SW
OLYMPIA, WA
ZIP 98502-105
Phone: (360) 754-1629
Fax: (360) 754-1694

The provider's authorized official is Janet Ness .
The authorized official title is Office Manager and has the following contact phone number (360) 754-1629.

The CLIA number assigned to this NPI record is 50D2143299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 4/11/2013.


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
1208000000XPediatricsYes

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
11030576MEDICAIDWASHINGTON

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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