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FRANCISCAN MEDICAL GROUP NPI 1386679207


NPI Information

NPI: 1386679207
Provider Name: FRANCISCAN MEDICAL GROUP

Doing Business As: ST. JOSEPH MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1708 YAKIMA AVE
STE 110
TACOMA, WA
ZIP 98405
Phone: (253) 627-9151
Get Directions

FRANCISCAN MEDICAL GROUP is a family medicine in Tacoma, 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 1386679207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Joseph Medical Clinic.

The provider's business location address is:

1708 YAKIMA AVE
STE 110
TACOMA, WA
ZIP 98405-307
Phone: (253) 627-9151

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 7/11/2006 and was last updated on 2/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD00035180WASHINGTONYes

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
17095110MEDICAIDWASHINGTON
2GAB08472MEDICARE PINWASHINGTON
37112451MEDICAIDWASHINGTON
42023166MEDICAIDWASHINGTON
51326440001MEDICARE NSCWASHINGTON
60126510OTHERWASHINGTONSTATE L&I
7AB08472MEDICARE 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: 4/28/2024

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