PETER J MARTIN NPI 1366768046

NPI Information

NPI: 1366768046
Provider Name: PETER J MARTIN

Doing Business As: TEKOA RURAL HEALTH CLINIC

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

Specialization: Rural Health

Address:
N. 115 CROSBY ST.
TEKOA, WA
ZIP 99033
Phone: (509) 284-2423
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PETER J MARTIN is a rural health clinic center in Tekoa, WA. PETER J MARTIN NPI is 1366768046. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tekoa Rural Health Clinic.

The provider's business location address is:

N. 115 CROSBY ST.
TEKOA, WA
ZIP 99033-629
Phone: (509) 284-2423
Fax: (509) 284-3434

The provider's authorized official is Peter J Martin .
The authorized official title is Administrator and has the following contact phone number (509) 284-2423.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 4/20/2010.

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
1	363AM0700X	Physician Assistant	Medical			No
2	261QR1300X	Clinic/Center	Rural Health			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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