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MOLINA HEALTHCARE OF WASHINGTON INC NPI 1891000725


NPI Information

NPI: 1891000725
Provider Name: MOLINA HEALTHCARE OF WASHINGTON, INC

Doing Business As: MOLINA MEDICAL GROUP - WASHINGTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15 SW EVERETT MALL WAY
SUITE A
EVERETT, WA
ZIP 98208
Phone: (562) 499-6191
Get Directions

MOLINA HEALTHCARE OF WASHINGTON, INC is a family medicine in Everett, 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. MOLINA HEALTHCARE OF WASHINGTON, INC NPI is 1891000725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Molina Medical Group - Washington.

The provider's business location address is:

15 SW EVERETT MALL WAY
SUITE A
EVERETT, WA
ZIP 98208-777
Phone: (562) 499-6191
Fax: (562) 499-6171

The provider's authorized official is Gloria Calderon .
The authorized official title is Vp, Clinic Operations and has the following contact phone number (562) 499-6191.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 9/27/2011.


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
1208000000XPediatricsNo
2207R00000XInternal MedicineNo
3207Q00000XFamily MedicineYes

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
1G8890147MEDICARE PINWASHINGTON
22010594MEDICAIDWASHINGTON

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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