Castle Rock Pediatrics And Family Wellness Center

LBN: Castle Rock Pediatrics And Family Wellness Center
Castle Rock Pediatrics And Family Wellness Center is an health care organization with primary practice located at 139 First Avenue Sw , Castle Rock WA 98611-0160. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Castle Rock Pediatrics And Family Wellness Center can be contacted via phone (360) 274-2353, or through Ayoub, Reinhild via phone (360) 274-2353.

Contact Information

Primary practice address
139 First Avenue Sw Castle Rock WA 98611-0160
Fax: (360) 274-2354
Website:
Authorized official contact:
Name: Ayoub, Reinhild

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 601 929 001 11 Washington

Profile Details

NPI number 1770767477
LBN Legal business name Castle Rock Pediatrics And Family Wellness Center
DBA Doing business as
Authorized official Ayoub, Reinhild
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Nov 25th, 2008 - about 16 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 1770767477 NPPES
Washington MEDICAID 7094261

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