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PUBLIC HOSPITAL DISTRICT NO 2 NPI 1568563732


NPI Information

NPI: 1568563732
Provider Name: PUBLIC HOSPITAL DISTRICT NO 2

Doing Business As: EVERGREEN MEDICAL GROUP DUVALL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14720 MAIN ST NE
STE 109
DUVALL, WA
ZIP 98019
Phone: (425) 788-4889
Get Directions

PUBLIC HOSPITAL DISTRICT NO 2 is a family medicine in Duvall, 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. PUBLIC HOSPITAL DISTRICT NO 2 NPI is 1568563732. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Medical Group Duvall.

The provider's business location address is:

14720 MAIN ST NE
STE 109
DUVALL, WA
ZIP 98019-460
Phone: (425) 788-4889
Fax: (425) 844-6116

The provider's authorized official is Robert Malte .
The authorized official title is Ceo and has the following contact phone number (425) 899-2610.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 1/4/2011.


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 MedicineYes

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
1CG8137OTHERWASHINGTONMEDICARE RAILROAD
2CQ2437OTHERWASHINGTONMEDICARE RAILROAD
3CG2833OTHERWASHINGTONMEDICARE RAILROAD
47110562MEDICAIDWASHINGTON
5G217120700MEDICARE PINWASHINGTON
6CJ9678OTHERWASHINGTONMEDICARE RAILROAD

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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