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MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION NPI 1013383215


NPI Information

NPI: 1013383215
Provider Name: MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1100 WHEATON WAY
SUITE F AND G
BREMERTON, WA
ZIP 98310
Phone: (360) 621-2696
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MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION is a clinic center in Bremerton, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION NPI is 1013383215. The provider is registered as an organization entity type.

The provider's business location address is:

1100 WHEATON WAY
SUITE F AND G
BREMERTON, WA
ZIP 98310-459
Phone: (360) 621-2696
Fax: (844) 602-4646

The provider's authorized official is Tanya Spoon .
The authorized official title is Owner and has the following contact phone number (360) 621-2696.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 6/16/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterAP30007455WASHINGTONYes

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

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.