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TRINITY FAMILY MEDICAL CLINIC NPI 1639617038


NPI Information

NPI: 1639617038
Provider Name: TRINITY FAMILY MEDICAL CLINIC

Former Legal Business Name: TRINITY FAMILY MEDICAL CLINIC PS, INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2129441

Address:
610 S MERIDIAN
PUYALLUP, WA
ZIP 98371
Phone: (253) 881-1844
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TRINITY FAMILY MEDICAL CLINIC is a family medicine in Puyallup, 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. TRINITY FAMILY MEDICAL CLINIC NPI is 1639617038. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Trinity Family Medical Clinic Ps, Inc.

The provider's business location address is:

610 S MERIDIAN
PUYALLUP, WA
ZIP 98371
Phone: (253) 881-1844
Fax: (253) 881-1925

The provider's authorized official is Eugenia D Guray .
The authorized official title is Owner and has the following contact phone number (253) 881-1844.

The CLIA number assigned to this NPI record is 50D2129441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 4/1/2024.


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 MedicineMD00042936WASHINGTONYes

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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