Provider Type Icon

SOAP LAKE FAMILY MEDICINE NPI 1104013556


NPI Information

NPI: 1104013556
Provider Name: SOAP LAKE FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
127 2ND AVE SW
SOAP LAKE, WA
ZIP 98851
Phone: (509) 246-0540
Get Directions

SOAP LAKE FAMILY MEDICINE is a family medicine in Soap Lake, 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. SOAP LAKE FAMILY MEDICINE NPI is 1104013556. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

127 2ND AVE SW
SOAP LAKE, WA
ZIP 98851-958
Phone: (509) 246-0540
Fax: (509) 246-0358

The provider's authorized official is John Thomas Bearup .
The authorized official title is Partner and has the following contact phone number (509) 246-0540.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 3/31/2008.


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
1207Q00000XFamily MedicinePA10001768WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.