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ELMA HEALTH CARE CLINIC LLC NPI 1881803922


NPI Information

NPI: 1881803922
Provider Name: ELMA HEALTH CARE CLINIC, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
11 SCHOUWEILER RD
ELMA, WA
ZIP 98541
Phone: (360) 482-5300
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ELMA HEALTH CARE CLINIC, LLC is a medical physician assistant in Elma, WA. ELMA HEALTH CARE CLINIC, LLC NPI is 1881803922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 SCHOUWEILER RD
ELMA, WA
ZIP 98541
Phone: (360) 482-5300

The provider's authorized official is Kathleen M Mcelroy .
The authorized official title is Office Manager Owner and has the following contact phone number (360) 482-5300.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 5/22/2012.


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
1363AM0700XPhysician AssistantMedicalOA10000077WASHINGTONYes

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
1G000800600MEDICARE PINWASHINGTON
2E67953MEDICARE UPINWASHINGTON

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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