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SOUTH SOUND VASECTOMY AND MEN'S HEALTH NPI 1528599685


NPI Information

NPI: 1528599685
Provider Name: SOUTH SOUND VASECTOMY AND MEN'S HEALTH
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 50D0902067

Address:
324 W BAY DR NW
SUITE 105
OLYMPIA, WA
ZIP 98502
Phone: (360) 742-3562
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SOUTH SOUND VASECTOMY AND MEN'S HEALTH is a general practice in Olympia, WA. SOUTH SOUND VASECTOMY AND MEN'S HEALTH NPI is 1528599685. The provider is registered as an organization entity type.

The provider's business location address is:

324 W BAY DR NW
SUITE 105
OLYMPIA, WA
ZIP 98502-926
Phone: (360) 742-3562
Fax: (360) 915-7925

The provider's authorized official is Timothy Neal Zola .
The authorized official title is Medical Director and has the following contact phone number (360) 742-3562.

The CLIA number assigned to this NPI record is 50D0902067 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.


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
1261Q00000XClinic/CenterNo
2208D00000XGeneral PracticeMD60017650WASHINGTONYes

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: 11/14/2023

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.