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REDMOND FAMILY CARE LLC NPI 1073830618


NPI Information

NPI: 1073830618
Provider Name: REDMOND FAMILY CARE LLC

Doing Business As: REDMOND FAMILY CARE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 50D2007971

Address:
8195 166TH AVE NE
SUITE 203
REDMOND, WA
ZIP 98052
Phone: (425) 310-6519
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REDMOND FAMILY CARE LLC is a medical specialty clinic center in Redmond, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). REDMOND FAMILY CARE LLC NPI is 1073830618. The provider is registered as an organization entity type.
The provider Is Doing Business As Redmond Family Care.

The provider's business location address is:

8195 166TH AVE NE
SUITE 203
REDMOND, WA
ZIP 98052-960
Phone: (425) 310-6519
Fax: (425) 968-9839

The provider's authorized official is Pen Hou .
The authorized official title is Principal and has the following contact phone number (425) 310-6519.

The CLIA number assigned to this NPI record is 50D2007971 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 11/11/2010.


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
1261QM2500XClinic/CenterMedical SpecialtyMD00045554WASHINGTONYes

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

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