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PROVIDENCE HEALTH & SERVICES - WA NPI 1922259027


NPI Information

NPI: 1922259027
Provider Name: PROVIDENCE HEALTH & SERVICES - WA

Doing Business As: PMG NW WA MONROE URGENT CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
19200 N KELSEY ST
MONROE, WA
ZIP 98272
Phone: (360) 805-4790
Get Directions

PROVIDENCE HEALTH & SERVICES - WA is a family medicine in Monroe, 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. PROVIDENCE HEALTH & SERVICES - WA NPI is 1922259027. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmg Nw Wa Monroe Urgent Care.

The provider's business location address is:

19200 N KELSEY ST
MONROE, WA
ZIP 98272-431
Phone: (360) 805-4790
Fax: (360) 805-4791

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Director Reimb Regulatory Strategy and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 3/1/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4208D00000XGeneral PracticeNo
5207Q00000XFamily MedicineYes

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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