MEMORIAL PHYSICIANS P.L.L.C. NPI 1679895775

NPI Information

NPI: 1679895775
Provider Name: MEMORIAL PHYSICIANS, P.L.L.C.

Doing Business As: SELAH FAMILY MEDICINE

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

Specialization: Multi-Specialty

Address:
620 N. PARK DRIVE
SELAH, WA
ZIP 98942
Phone: (509) 697-5511
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MEMORIAL PHYSICIANS, P.L.L.C. is a multi-specialty clinic center in Selah, WA. MEMORIAL PHYSICIANS, P.L.L.C. NPI is 1679895775. The provider is registered as an organization entity type.
The provider Is Doing Business As Selah Family Medicine.

The provider's business location address is:

620 N. PARK DRIVE
SELAH, WA
ZIP 98942-326
Phone: (509) 697-5511
Fax: (509) 225-2707

The provider's authorized official is Timothy Reed .
The authorized official title is Chief Operating Officer and has the following contact phone number (509) 248-7849.

The CLIA number assigned to this NPI record is 50D1064284 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 11/25/2013.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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