L KEITH HANSON PLLC NPI 1588623581

NPI Information

NPI: 1588623581
Provider Name: L KEITH HANSON PLLC

Former Legal Business Name: COMMUNITY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
520 W INDIAN AVE
BREWSTER, WA
ZIP 98812
Phone: (509) 689-2525
Get Directions

L KEITH HANSON PLLC is a family medicine in Brewster, 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. L KEITH HANSON PLLC NPI is 1588623581. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Medical Center.

The provider's business location address is:

520 W INDIAN AVE
BREWSTER, WA
ZIP 98812
Phone: (509) 689-2525
Fax: (509) 689-3247

The provider's authorized official is Melodie White .
The authorized official title is Administrator and has the following contact phone number (509) 689-2525.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 8/19/2008.

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
1	261QR1300X	Clinic/Center	Rural Health	503894	WASHINGTON	No
2	208000000X	Pediatrics				No
3	207V00000X	Obstetrics & Gynecology				No
4	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
1	5531670001	MEDICARE NSC	WASHINGTON
2	7124779	MEDICAID	WASHINGTON
3	GAB36675	MEDICARE PIN	WASHINGTON

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

NPI Synchronization or Removal

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