SPANAWAY GENERAL MEDICAL CLINIC NPI 1770514937

NPI Information

  • NPI: 1770514937
  • Provider Name: SPANAWAY GENERAL MEDICAL CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 15005 PACIFIC AVE
    SPANAWAY GENERAL MEDICAL CLINIC
    TACOMA, WA
    ZIP 98444
  • Phone: (253) 537-3724

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NPI Details

SPANAWAY GENERAL MEDICAL CLINIC is a general practice in Tacoma, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SPANAWAY GENERAL MEDICAL CLINIC NPI is 1770514937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15005 PACIFIC AVE
SPANAWAY GENERAL MEDICAL CLINIC
TACOMA, WA
ZIP 98444
Phone: (253) 537-3724
Fax: (253) 537-6425

The provider's authorized official is Andrew Man Kuen Tsoi .
The authorized official title is Owner and has the following contact phone number (253) 537-3724.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/25/2010.

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
1208D00000XGeneral PracticeYes

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
17174006MEDICAIDWASHINGTON
2001053800MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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