HERITAGE FAMILY MEDICINE NPI 1427136977

NPI Information

NPI: 1427136977
Provider Name: HERITAGE FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4001 HARRISON AVE NW STE 101
OLYMPIA, WA
ZIP 98502
Phone: (360) 704-2362
Get Directions

HERITAGE FAMILY MEDICINE is a family medicine in Olympia, 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. HERITAGE FAMILY MEDICINE NPI is 1427136977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 HARRISON AVE NW STE 101
OLYMPIA, WA
ZIP 98502-084
Phone: (360) 704-2362
Fax: (360) 350-1445

The provider's authorized official is Richard Louis Faiola .
The authorized official title is Owner and has the following contact phone number (360) 704-2362.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/26/2021.

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
1	207Q00000X	Family Medicine				Yes

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
1	6220HE	OTHER	WASHINGTON	GROUP RIDER
2	7136914	MEDICAID	WASHINGTON
3	0219928	OTHER	WASHINGTON	LABOR AND INDUSTRIES WA

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

NPI Synchronization or Removal

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