SAINT MARTIN'S UNIVERSITY NPI 1023898483

NPI Information

  • NPI: 1023898483
  • Provider Name: SAINT MARTIN'S UNIVERSITY
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • CLIA Number: 50D2202371
  • Address: 5000 ABBEY WAY SE
    LACEY, WA
    ZIP 98503
  • Phone: (972) 367-4845

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NPI Details

SAINT MARTIN'S UNIVERSITY is a sports medicine family medicine in Lacey, WA. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. SAINT MARTIN'S UNIVERSITY NPI is 1023898483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5000 ABBEY WAY SE
LACEY, WA
ZIP 98503-200
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass Iii .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 50D2202371 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2023 and was last updated on 10/3/2023.

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
1207QS0010XFamily MedicineSports MedicineYes

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: 11/21/2025

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