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MORASCH MEDICAL PC NPI 1669153045


NPI Information

NPI: 1669153045
Provider Name: MORASCH MEDICAL, PC

Doing Business As: HERITAGE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2294720

Address:
1129 S 2ND AVE STE B
WALLA WALLA, WA
ZIP 99362
Phone: (509) 520-5520
Get Directions

MORASCH MEDICAL, PC is a family medicine in Walla Walla, 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. MORASCH MEDICAL, PC NPI is 1669153045. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heritage Clinic.

The provider's business location address is:

1129 S 2ND AVE STE B
WALLA WALLA, WA
ZIP 99362-100
Phone: (509) 520-5520

The provider's authorized official is Robert G Morasch .
The authorized official title is Owner and has the following contact phone number (949) 933-9644.

The CLIA number assigned to this NPI record is 50D2294720 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2023 and was last updated on 8/30/2023.


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
1207Q00000XFamily 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
11085023MEDICAIDWASHINGTON

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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