SITARA MEDICAL INC PS NPI 1689864209

NPI Information

NPI: 1689864209
Provider Name: SITARA MEDICAL INC PS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
14841 179TH AVE SE STE 210
MONROE, WA
ZIP 98272
Phone: (425) 802-2861
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SITARA MEDICAL INC PS is a mental health (including community mental health center) clinic center in Monroe, WA. SITARA MEDICAL INC PS NPI is 1689864209. The provider is registered as an organization entity type.

The provider's business location address is:

14841 179TH AVE SE STE 210
MONROE, WA
ZIP 98272-127
Phone: (425) 802-2861

The provider's authorized official is Syed Hadi Jafar .
The authorized official title is Owner and has the following contact phone number (425) 802-2861.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 7/1/2008.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	G8807967	MEDICARE PIN	WASHINGTON
2	1120922	MEDICAID	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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