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SOUTH SOUND PEDIATRICS PLLC NPI 1578001186


NPI Information

NPI: 1578001186
Provider Name: SOUTH SOUND PEDIATRICS, PLLC

Other Name: SOUTH SOUND PEDIATRICS HEALTH HOMES

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3516 12TH AVE NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 456-1600
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SOUTH SOUND PEDIATRICS, PLLC 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. SOUTH SOUND PEDIATRICS, PLLC NPI is 1578001186. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is South Sound Pediatrics Health Homes.

The provider's business location address is:

3516 12TH AVE NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 456-1600
Fax: (360) 456-6504

The provider's authorized official is Cndy A Strandberg .
The authorized official title is Clinic Administrator and has the following contact phone number (360) 918-0604.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.


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
1208000000XPediatrics602083232WASHINGTONYes

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
11029486MEDICAIDWASHINGTON

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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