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SKAGIT FAMILY HEALTH CLINIC PLLC NPI 1104140318


NPI Information

NPI: 1104140318
Provider Name: SKAGIT FAMILY HEALTH CLINIC PLLC

Doing Business As: SKAGIT FAMILY HEALTH CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 50D1006346

Address:
916 S 3RD ST
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 336-5658
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SKAGIT FAMILY HEALTH CLINIC PLLC is a family nurse practitioner in Mount Vernon, WA. SKAGIT FAMILY HEALTH CLINIC PLLC NPI is 1104140318. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Skagit Family Health Clinic.

The provider's business location address is:

916 S 3RD ST
MOUNT VERNON, WA
ZIP 98273-324
Phone: (360) 336-5658
Fax: (360) 336-5655

The provider's authorized official is Michelle Cowan .
The authorized official title is Director and has the following contact phone number (360) 336-5658.

The CLIA number assigned to this NPI record is 50D1006346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/16/2010 and was last updated on 4/26/2024.


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
1175F00000XNaturopathNo
2363LF0000XNurse PractitionerFamilyYes

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.