FRED MEYER INC NPI 1477931947

NPI Information

NPI: 1477931947
Provider Name: FRED MEYER INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 50D1023421

Address:
1201 VALLEY AVE E
SUMNER, WA
ZIP 98390
Phone: (253) 826-8433
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FRED MEYER INC is a community health clinic center in Sumner, WA. FRED MEYER INC NPI is 1477931947. The provider is registered as an organization entity type.

The provider's business location address is:

1201 VALLEY AVE E
SUMNER, WA
ZIP 98390-225
Phone: (253) 826-8433

The provider's authorized official is Jim Kilgus .
The authorized official title is Pharmacy Manager and has the following contact phone number (253) 826-8433.

The CLIA number assigned to this NPI record is 50D1023421 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 5/15/2015.

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	261QC1500X	Clinic/Center	Community Health	IR60290101	WASHINGTON	Yes

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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