HOMETOWN FAMILY MEDICINE PS NPI 1881991131

NPI Information

NPI: 1881991131
Provider Name: HOMETOWN FAMILY MEDICINE PS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 50D2020659

Address:
210 W MAIN AVE
RITZVILLE, WA
ZIP 99169
Phone: (509) 659-4800
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HOMETOWN FAMILY MEDICINE PS is a primary care clinic center in Ritzville, WA. HOMETOWN FAMILY MEDICINE PS NPI is 1881991131. The provider is registered as an organization entity type.

The provider's business location address is:

210 W MAIN AVE
RITZVILLE, WA
ZIP 99169-410
Phone: (509) 659-4800
Fax: (509) 659-4801

The provider's authorized official is Charles M Sackmann .
The authorized official title is Md-owner and has the following contact phone number (509) 659-4800.

The CLIA number assigned to this NPI record is 50D2020659 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 4/13/2015.

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
1	261QP2300X	Clinic/Center	Primary Care			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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