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WHITMAN MEDICAL GROUP PS NPI 1730289596


NPI Information

NPI: 1730289596
Provider Name: WHITMAN MEDICAL GROUP PS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D0882368

Address:
1210 W FAIRVIEW ST
COLFAX, WA
ZIP 99111
Phone: (509) 397-4717
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WHITMAN MEDICAL GROUP PS is a family medicine in Colfax, 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. WHITMAN MEDICAL GROUP PS NPI is 1730289596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1210 W FAIRVIEW ST
COLFAX, WA
ZIP 99111-552
Phone: (509) 397-4717
Fax: (509) 397-3501

The provider's authorized official is Nathan James Hymas .
The authorized official title is Administrator and has the following contact phone number (509) 397-4717.

The CLIA number assigned to this NPI record is 50D0882368 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/22/2006 and was last updated on 12/11/2008.


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 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
17062987MEDICAIDWASHINGTON
20946290001OTHERWASHINGTONPTAN
3G319202200MEDICARE PINWASHINGTON
40946290001MEDICARE NSCWASHINGTON

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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