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FRANCISCAN MEDICAL GROUP NPI 1962417659


NPI Information

NPI: 1962417659
Provider Name: FRANCISCAN MEDICAL GROUP

Doing Business As: SURPRISE LAKE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2748 MILTON WAY
STE 101
MILTON, WA
ZIP 98354
Phone: (253) 922-5262
Get Directions

FRANCISCAN MEDICAL GROUP is a family medicine in Milton, 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. FRANCISCAN MEDICAL GROUP NPI is 1962417659. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surprise Lake Medical Clinic.

The provider's business location address is:

2748 MILTON WAY
STE 101
MILTON, WA
ZIP 98354-382
Phone: (253) 922-5262
Fax: (253) 922-5299

The provider's authorized official is Cliff Robertson .
The authorized official title is Chief Medical Officer and has the following contact phone number (253) 779-6101.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 6/14/2010.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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
10105765OTHERWASHINGTONSTATE L&I
28807169MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
37124365MEDICAIDWASHINGTON
41326440012MEDICARE NSCWASHINGTON
5G8807169MEDICARE 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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