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NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC NPI 1376512293


NPI Information

NPI: 1376512293
Provider Name: NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
34705 N NEWPORT HWY
SUITE A
CHATTAROY, WA
ZIP 99003
Phone: (509) 292-2700
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NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC is a family medicine in Chattaroy, 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. NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC NPI is 1376512293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34705 N NEWPORT HWY
SUITE A
CHATTAROY, WA
ZIP 99003-711
Phone: (509) 292-2700
Fax: (509) 292-9744

The provider's authorized official is Nathan P Stime .
The authorized official title is Owner and has the following contact phone number (509) 292-2700.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/23/2008.


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 Medicine10797WASHINGTONYes

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
11539907MEDICAIDWASHINGTON

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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