BEAVER URGENT CARE NPI 1114619384

NPI Information

  • NPI: 1114619384
  • Provider Name: BEAVER URGENT CARE
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 200361 HIGHWAY 101
    BEAVER, WA
    ZIP 98305
  • Phone: (360) 640-5601

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NPI Details

BEAVER URGENT CARE is an urgent care clinic center in Beaver, WA. BEAVER URGENT CARE NPI is 1114619384. The provider is registered as an organization entity type.

The provider's business location address is:

200361 HIGHWAY 101
BEAVER, WA
ZIP 98305-645
Phone: (360) 640-5601

The provider's authorized official is Jonas Brenden Merrill .
The authorized official title is Owner/provider and has the following contact phone number (360) 640-5601.

The enumeration date for this NPI number is 5/24/2023 and was last updated on 6/1/2023.

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
1261QU0200XClinic/CenterUrgent CareYes

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

NPI Synchronization or Removal

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