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MID-COLUMBIA FAMILY PHYSICIANSP.S. NPI 1760715106


NPI Information

NPI: 1760715106
Provider Name: MID-COLUMBIA FAMILY PHYSICIANS,P.S.

Doing Business As: MID COLUMBIA FAMILY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
875 SW ROCK CREEK DR
STEVENSON, WA
ZIP 98648
Phone: (509) 427-4212
Get Directions

MID-COLUMBIA FAMILY PHYSICIANS,P.S. is a family medicine in Stevenson, 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. MID-COLUMBIA FAMILY PHYSICIANS,P.S. NPI is 1760715106. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid Columbia Family Health Center.

The provider's business location address is:

875 SW ROCK CREEK DR
STEVENSON, WA
ZIP 98648-404
Phone: (509) 427-4212
Fax: (509) 427-4955

The provider's authorized official is R Allen Laberge .
The authorized official title is President and has the following contact phone number (509) 493-2133.

The enumeration date for this NPI number is 9/17/2009 and was last updated on 11/16/2018.


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 Medicine600416746WASHINGTONYes

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
17033376MEDICAIDWASHINGTON

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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