Provider Type Icon

DEER PARK FAMILY CARE CLINIC PS NPI 1548294150


NPI Information

NPI: 1548294150
Provider Name: DEER PARK FAMILY CARE CLINIC PS

Doing Business As: DEER PARK FAMILY CARE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
905 E D ST
DEER PARK, WA
ZIP 99006
Phone: (509) 276-5005
Get Directions

DEER PARK FAMILY CARE CLINIC PS is a family medicine in Deer Park, 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. DEER PARK FAMILY CARE CLINIC PS NPI is 1548294150. The provider is registered as an organization entity type.
The provider Is Doing Business As Deer Park Family Care Clinic.

The provider's business location address is:

905 E D ST
DEER PARK, WA
ZIP 99006
Phone: (509) 276-5005
Fax: (509) 276-6785

The provider's authorized official is Edgar A Figueroa .
The authorized official title is Owner/practicioner and has the following contact phone number (509) 276-5005.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/1/2012.


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
1261QR1300XClinic/CenterRural HealthWASHINGTONNo
2207Q00000XFamily 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
17085640MEDICAIDWASHINGTON
2GAB06076MEDICARE PINWASHINGTON
3503885MEDICARE OSCAR/CERTIFICATIONWASHINGTON
47118326MEDICAIDWASHINGTON

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.