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FRANCISCAN MEDICAL GROUP NPI 1356486260


NPI Information

NPI: 1356486260
Provider Name: FRANCISCAN MEDICAL GROUP

Doing Business As: FMG-DUPONT MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1175 CENTER DR
#130
DUPONT, WA
ZIP 98327
Phone: (253) 539-9735
Get Directions

FRANCISCAN MEDICAL GROUP is a family medicine in Dupont, 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. FRANCISCAN MEDICAL GROUP NPI is 1356486260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fmg-dupont Medical Clinic.

The provider's business location address is:

1175 CENTER DR
#130
DUPONT, WA
ZIP 98327-733
Phone: (253) 539-9735
Fax: (253) 539-7981

The provider's authorized official is Cliff A. Robertson .
The authorized official title is Chief Medical Officer and has the following contact phone number (253) 779-6101.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 6/20/2008.


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 MedicineOP00002173WASHINGTONYes

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
10217715OTHERWASHINGTONSTATE L&I
27136674MEDICAIDWASHINGTON
37137136MEDICAIDWASHINGTON
41326440029MEDICARE NSCWASHINGTON
5AB07308MEDICARE PINWASHINGTON
6GAB07308MEDICARE PINWASHINGTON

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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