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BADGER MOUNTAIN FAMILY MEDICINE PC NPI 1326016056


NPI Information

NPI: 1326016056
Provider Name: BADGER MOUNTAIN FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
560 GAGE BLVD
SUITE 206
RICHLAND, WA
ZIP 99352
Phone: (509) 628-1220
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BADGER MOUNTAIN FAMILY MEDICINE PC is a family medicine in Richland, 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. BADGER MOUNTAIN FAMILY MEDICINE PC NPI is 1326016056. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

560 GAGE BLVD
SUITE 206
RICHLAND, WA
ZIP 99352-650
Phone: (509) 628-1220

The provider's authorized official is James Daniel Vaughn .
The authorized official title is Owner and has the following contact phone number (509) 628-1220.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 12/29/2010.


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
1207Q00000XFamily MedicineMD00035663WASHINGTONYes

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
1F91662MEDICARE UPINWASHINGTON
27117500MEDICAIDWASHINGTON
3G8852717MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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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