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PHYSICIANS CARE FAMILY MEDICINE INC PS NPI 1396802492


NPI Information

NPI: 1396802492
Provider Name: PHYSICIANS CARE FAMILY MEDICINE INC PS

Former Legal Business Name: DIETRICH & SMITH CLINIC, INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1990 HOSPITAL DRIVE
SUITE 100
SEDRO WOOLLEY, WA
ZIP 98284
Phone: (360) 856-4141
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PHYSICIANS CARE FAMILY MEDICINE INC PS is a family medicine in Sedro Woolley, 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. PHYSICIANS CARE FAMILY MEDICINE INC PS NPI is 1396802492. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dietrich & Smith Clinic, Inc.

The provider's business location address is:

1990 HOSPITAL DRIVE
SUITE 100
SEDRO WOOLLEY, WA
ZIP 98284-315
Phone: (360) 856-4141
Fax: (360) 856-4145

The provider's authorized official is Herbert Edwin Stickle .
The authorized official title is Adminstrator and has the following contact phone number (360) 856-4141.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/1/2007.


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 MedicineWASHINGTONYes

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
147990OTHERWASHINGTONLABOR & INDUSTRIES
27080559MEDICAIDWASHINGTON

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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