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THE DOCTORS CLINIC A PROFESSIONAL CORPORATION NPI 1396793709


NPI Information

NPI: 1396793709
Provider Name: THE DOCTORS CLINIC A PROFESSIONAL CORPORATION

Doing Business As: THE DOCTORS CLINIC A PART OF FRANCISCAN MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 50D0635293

Address:
450 S KITSAP BLVD
BLDG. 1, SUITE 250
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 782-3000
Get Directions

THE DOCTORS CLINIC A PROFESSIONAL CORPORATION is a multi-specialty clinic center in Port Orchard, WA. THE DOCTORS CLINIC A PROFESSIONAL CORPORATION NPI is 1396793709. The provider is registered as an organization entity type.
The provider Is Doing Business As The Doctors Clinic A Part Of Franciscan Medical Group.

The provider's business location address is:

450 S KITSAP BLVD
BLDG. 1, SUITE 250
PORT ORCHARD, WA
ZIP 98366-773
Phone: (360) 782-3000
Fax: (360) 782-3040

The provider's authorized official is Jay Burghart .
The authorized official title is Executive Director and has the following contact phone number (360) 782-3600.

The CLIA number assigned to this NPI record is 50D0635293 - other - clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 11/1/2019.


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
1261Q00000XClinic/CenterNo
2261QP2300XClinic/CenterPrimary CareNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

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
1CU0247OTHERWASHINGTONRAILROAD MEDICARE
27053895MEDICAIDWASHINGTON
38919256OTHERWASHINGTONCRIME VICTIMS COMPENSATIO
4337018600OTHERWASHINGTONOWCP
550D0635293OTHERWASHINGTONCLIA

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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