MID-COLUMBIA FAMILY PHYSICIANSP.S. NPI 1841405206

NPI Information

NPI: 1841405206
Provider Name: MID-COLUMBIA FAMILY PHYSICIANS,P.S.

Doing Business As: MID COLUMBIA FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
875 ROCK CRK DRIVE SW
STEVENSON, WA
ZIP 98648
Phone: (509) 427-4212
Get Directions

MID-COLUMBIA FAMILY PHYSICIANS,P.S. is a rural health clinic center in Stevenson, WA. MID-COLUMBIA FAMILY PHYSICIANS,P.S. NPI is 1841405206. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid Columbia Family Health Center.

The provider's business location address is:

875 ROCK CRK DRIVE SW
STEVENSON, WA
ZIP 98648-875
Phone: (509) 427-4212
Fax: (509) 427-4955

The provider's authorized official is R Allen Laberge .
The authorized official title is President and has the following contact phone number (509) 493-2133.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 11/16/2018.

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	207Q00000X	Family Medicine		600416746	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health	600416746	WASHINGTON	Yes

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
1	7033376	MEDICAID	WASHINGTON
2	7065576	MEDICAID	WASHINGTON

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

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.

« Previous NPI

Next NPI »