ST MARY MEDICAL CENTER NPI 1922101575

NPI Information

NPI: 1922101575
Provider Name: ST MARY MEDICAL CENTER

Doing Business As: ST MARY PHYSICIAN GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
380 CHASE ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5815
Get Directions

ST MARY MEDICAL CENTER is a family medicine in Walla Walla, 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. ST MARY MEDICAL CENTER NPI is 1922101575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Mary Physician Group.

The provider's business location address is:

380 CHASE ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5815
Fax: (509) 522-5818

The provider's authorized official is Susan Columber .
The authorized official title is Director Of Revenue Cycle Managemen and has the following contact phone number (509) 522-5906.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/2/2008.

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	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	No
2	207R00000X	Internal Medicine		No
3	207X00000X	Orthopaedic Surgery		No
4	208600000X	Surgery		No
5	207Q00000X	Family Medicine		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	115284	OTHER	WASHINGTON	L&I
2	288144	OTHER	OREGON	OMAP
3	001348200	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
4	7028186	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

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