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OPTUM CARE WASHINGTON PLLC NPI 1275675530


NPI Information

NPI: 1275675530
Provider Name: OPTUM CARE WASHINGTON PLLC

Other Name: OPTUM - PAVILION FOR WOMEN AND CHILDREN

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
900 PACIFIC AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5430
Get Directions

OPTUM CARE WASHINGTON PLLC is a durable medical equipment medical supplies in Everett, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OPTUM CARE WASHINGTON PLLC NPI is 1275675530. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Optum - Pavilion For Women And Children.

The provider's business location address is:

900 PACIFIC AVE
EVERETT, WA
ZIP 98201-168
Phone: (425) 339-5430

The provider's authorized official is George Go .
The authorized official title is Board President and has the following contact phone number (425) 259-0966.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 4/9/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2291U00000XClinical Medical Laboratory50D0998446WASHINGTONNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133000OTHERWASHINGTONL&I
27776503MEDICAIDWASHINGTON

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: 4/28/2024

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