Badger Mountain Family Medicine Pc

LBN: Badger Mountain Family Medicine Pc
Badger Mountain Family Medicine Pc is an health care organization with primary practice located at 560 Gage Blvd Suite 206, Richland WA 99352-8650. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Badger Mountain Family Medicine Pc can be contacted via phone (509) 628-1220, or through Vaughn, James Daniel via phone (509) 628-1220.

Contact Information

Primary practice address
560 Gage Blvd Suite 206 Richland WA 99352-8650
Phone: (509) 628-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, James Daniel Doctor of Medicine (MD)
Phone: (509) 628-1220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035663 Washington

Profile Details

NPI number 1326016056
LBN Legal business name Badger Mountain Family Medicine Pc
DBA Doing business as
Authorized official Vaughn, James Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 29th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326016056 NPPES
Washington MEDICAID 7117500

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