4Th Street Medical Care Pllc

LBN: 4Th Street Medical Care Pllc
4Th Street Medical Care Pllc is an health care organization with primary practice located at 1602 4Th St , Marysville WA 98270-5014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. 4Th Street Medical Care Pllc can be contacted via phone (360) 659-4141, or through Ho, Santosa via phone (360) 659-4141.

Contact Information

Primary practice address
1602 4Th St Marysville WA 98270-5014
Phone: (360) 659-4141
Fax: (360) 659-1712
Website:
Map and Directions
Authorized official contact:
Name: Ho, Santosa Doctor of Medicine (MD)
Phone: (360) 659-4141

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 602329907 Washington

Profile Details

NPI number 1659559409
LBN Legal business name 4Th Street Medical Care Pllc
DBA Doing business as
Authorized official Ho, Santosa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated Dec 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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