COLUMBIA RIVER MEDICAL CENTER PLLC NPI 1902939945

NPI Information

NPI: 1902939945
Provider Name: COLUMBIA RIVER MEDICAL CENTER PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1525 W COURT ST
PASCO, WA
ZIP 99301
Phone: (509) 542-9285
Get Directions

COLUMBIA RIVER MEDICAL CENTER PLLC is a family medicine in Pasco, 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. COLUMBIA RIVER MEDICAL CENTER PLLC NPI is 1902939945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1525 W COURT ST
PASCO, WA
ZIP 99301
Phone: (509) 542-9285
Fax: (509) 545-0699

The provider's authorized official is Daniel M Rodriguez .
The authorized official title is Office Manager and has the following contact phone number (509) 542-9285.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 1/3/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD00024811	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	7113780	MEDICAID	WASHINGTON
2	GAB34517	MEDICARE ID-TYPE UNSPECIFIED	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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