GUMSHOE HEALTH P.S NPI 1659725455

NPI Information

NPI: 1659725455
Provider Name: GUMSHOE HEALTH, P.S
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
101 E MAIN ST STE 201
MONROE, WA
ZIP 98272
Phone: (360) 863-0642
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GUMSHOE HEALTH, P.S is a health service clinic center in Monroe, WA. GUMSHOE HEALTH, P.S NPI is 1659725455. The provider is registered as an organization entity type.

The provider's business location address is:

101 E MAIN ST STE 201
MONROE, WA
ZIP 98272-519
Phone: (360) 863-0642
Fax: (360) 794-7236

The provider's authorized official is Samantha Desmond .
The authorized official title is President and has the following contact phone number (206) 747-7681.

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.

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	261QH0100X	Clinic/Center	Health Service	NT60647845	WASHINGTON	Yes

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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