CHEWELAH ASSOCIATED PHYSICIANS PS NPI 1104971365

NPI Information

NPI: 1104971365
Provider Name: CHEWELAH ASSOCIATED PHYSICIANS PS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
410 E KING ST
CHEWELAH, WA
ZIP 99109
Phone: (509) 935-8711
Get Directions

CHEWELAH ASSOCIATED PHYSICIANS PS is a family medicine in Chewelah, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHEWELAH ASSOCIATED PHYSICIANS PS NPI is 1104971365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 E KING ST
CHEWELAH, WA
ZIP 99109-137
Phone: (509) 935-8711
Fax: (509) 935-4882

The provider's authorized official is Thomas John Boone .
The authorized official title is Ceo and has the following contact phone number (509) 935-8711.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/25/2009.

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
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CN7261	OTHER		RAILROAD MEDICARE
2	7109173	MEDICAID	WASHINGTON
3	8901404	OTHER	WASHINGTON	DEPT OF L&I
4	7590946	MEDICAID	WASHINGTON
5	G000346400	MEDICARE PIN	WASHINGTON
6	7123300	MEDICAID	WASHINGTON
7	503868	MEDICARE OSCAR/CERTIFICATION	WASHINGTON

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

NPI Synchronization or Removal

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