FREELAND PRIMARY CARE PLLC NPI 1043557333

NPI Information

  • NPI: 1043557333
  • Provider Name: FREELAND PRIMARY CARE PLLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: SOUTH ISLAND PRIMARY AND IMMEDIATE CARE
  • CLIA Number: 50D2058328
  • Address: 5577 VANBARR PL
    FREELAND, WA
    ZIP 98249
  • Phone: (360) 331-3343

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NPI Details

FREELAND PRIMARY CARE PLLC is an internal medicine in Freeland, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FREELAND PRIMARY CARE PLLC NPI is 1043557333. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Island Primary And Immediate Care.

The provider's business location address is:

5577 VANBARR PL
FREELAND, WA
ZIP 98249-555
Phone: (360) 331-3343
Fax: (360) 331-3373

The provider's authorized official is Kimberly Johnson .
The authorized official title is Practice Manager and has the following contact phone number (360) 331-3343.

The CLIA number assigned to this NPI record is 50D2058328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 6/12/2024.

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
1207R00000XInternal MedicineYes
2363L00000XNurse PractitionerNo

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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