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KENNEWICK EMERGENCY PHYSICIANS P.S. NPI 1629110564


NPI Information

NPI: 1629110564
Provider Name: KENNEWICK EMERGENCY PHYSICIANS, P.S.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 50D2081255

Address:
900 S AUBURN ST
KENNEWICK, WA
ZIP 99336
Phone: (509) 737-1492
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KENNEWICK EMERGENCY PHYSICIANS, P.S. is an emergency medical services emergency medicine in Kennewick, WA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. KENNEWICK EMERGENCY PHYSICIANS, P.S. NPI is 1629110564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 S AUBURN ST
KENNEWICK, WA
ZIP 99336-621
Phone: (509) 737-1492

The provider's authorized official is Kristi Baze .
The authorized official title is Practice Administrator and has the following contact phone number (509) 737-1492.

The CLIA number assigned to this NPI record is 50D2081255 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/10/2015.


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
1207PE0004XEmergency MedicineEmergency Medical Services092346WASHINGTONYes

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
1GAB39408MEDICARE PINWASHINGTON

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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