SUNNYSIDE FAMILY MEDICINE PC NPI 1780717207

NPI Information

NPI: 1780717207
Provider Name: SUNNYSIDE FAMILY MEDICINE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2240 E LINCOLN AVE
SUNNYSIDE, WA
ZIP 98944
Phone: (509) 837-6681
Get Directions

SUNNYSIDE FAMILY MEDICINE, PC is a family medicine in Sunnyside, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUNNYSIDE FAMILY MEDICINE, PC NPI is 1780717207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2240 E LINCOLN AVE
SUNNYSIDE, WA
ZIP 98944-487
Phone: (509) 837-6681
Fax: (509) 839-0075

The provider's authorized official is Olga Medelez .
The authorized official title is Reception/billing and has the following contact phone number (509) 837-6681.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 12/9/2016.

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	207Q00000X	Family Medicine		OP00001175	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H32830	MEDICARE UPIN	WASHINGTON
2	8264582	MEDICAID	WASHINGTON
3	0146394	OTHER	WASHINGTON	L&I NUMBER
4	112305	OTHER	WASHINGTON	L&I GROUP NUMBER
5	P83588	MEDICARE UPIN	WASHINGTON
6	E08911	MEDICARE UPIN	WASHINGTON
7	1057496	MEDICAID	WASHINGTON
8	115158100	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
9	0146393	OTHER	WASHINGTON	L&I NUMBER
10	8935331	OTHER	WASHINGTON	CRIME VICTIMS NUMBER
11	9616897	MEDICAID	WASHINGTON
12	0052792	OTHER	WASHINGTON	L&I NUMBER
13	E08911	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
14	AB20265	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
15	7081540	MEDICAID	WASHINGTON

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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