LAKE CHELAN CLINIC P.C. NPI 1073572855

NPI Information

NPI: 1073572855
Provider Name: LAKE CHELAN CLINIC, P.C.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
219 E JOHNSON AVE
CHELAN, WA
ZIP 98816
Phone: (509) 682-2511
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LAKE CHELAN CLINIC, P.C. is a rural health clinic center in Chelan, WA. LAKE CHELAN CLINIC, P.C. NPI is 1073572855. The provider is registered as an organization entity type.

The provider's business location address is:

219 E JOHNSON AVE
CHELAN, WA
ZIP 98816-160
Phone: (509) 682-2511
Fax: (509) 682-2515

The provider's authorized official is Barbara Berg .
The authorized official title is Administrator and has the following contact phone number (509) 682-2511.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 10/20/2010.

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
1	261QR1300X	Clinic/Center	Rural Health	503851	WASHINGTON	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	503851	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
2	7115603	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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