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EVERGREEN MEDICAL PANEL NPI 1700074275


NPI Information

NPI: 1700074275
Provider Name: EVERGREEN MEDICAL PANEL
Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization
Address:
2411 S 19TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 572-4171
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EVERGREEN MEDICAL PANEL is a health maintenance organization in Tacoma, WA. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. EVERGREEN MEDICAL PANEL NPI is 1700074275. The provider is registered as an organization entity type.

The provider's business location address is:

2411 S 19TH ST
TACOMA, WA
ZIP 98405-954
Phone: (253) 572-4171
Fax: (253) 572-4291

The provider's authorized official is Jessy E Ang .
The authorized official title is Psychiaties and has the following contact phone number (253) 576-4171.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/11/2007.


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
1302R00000XHealth Maintenance Organization0700013011WASHINGTONYes

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

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