Clinic At Royal City

LBN: Clinic At Royal City
Clinic At Royal City is an health care organization with primary practice located at 101 Camelia St Nw , Royal City WA 99357. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Clinic At Royal City can be contacted via phone (509) 346-1447, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
101 Camelia St Nw Royal City WA 99357
Fax: (509) 346-1481
Website:
Authorized official contact:
Name: Shackelford, Direndia

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X MD00010548 Washington

Profile Details

NPI number 1962586503
LBN Legal business name Clinic At Royal City
DBA Doing business as Clinic At Royal City
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1962586503 NPPES
Washington MEDICAID 8213605
Washington Other 4928137

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