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OVERLAKE MEDICAL CLINICS LLC NPI 1801828421


NPI Information

NPI: 1801828421
Provider Name: OVERLAKE MEDICAL CLINICS, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1135 116TH AVE NE
SUITE 110
BELLEVUE, WA
ZIP 98004
Phone: (425) 688-5670
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OVERLAKE MEDICAL CLINICS, LLC is a specialist in Bellevue, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OVERLAKE MEDICAL CLINICS, LLC NPI is 1801828421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1135 116TH AVE NE
SUITE 110
BELLEVUE, WA
ZIP 98004
Phone: (425) 688-5670
Fax: (425) 688-5124

The provider's authorized official is David Schultz .
The authorized official title is Coo and has the following contact phone number (425) 688-5470.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/16/2013.


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
1174400000XSpecialistYes

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
17102015MEDICAIDWASHINGTON
2GAB06825MEDICARE PINWASHINGTON

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.