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PROVIDENCE HEALTH & SERVICES - WA NPI 1013169507


NPI Information

NPI: 1013169507
Provider Name: PROVIDENCE HEALTH & SERVICES - WA

Doing Business As: PMG NW WA MC URGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208
Phone: (425) 316-5150
Get Directions

PROVIDENCE HEALTH & SERVICES - WA is a general practice in Everett, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PROVIDENCE HEALTH & SERVICES - WA NPI is 1013169507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmg Nw Wa Mc Urgent Care.

The provider's business location address is:

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208-642
Phone: (425) 316-5150
Fax: (425) 225-1006

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Director Reimb Regulatory Strategy and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 3/1/2021.


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
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4208D00000XGeneral PracticeYes

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: 4/28/2024

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