Derek J Peacock Md Pllc

LBN: Columbia Rheumatology
Derek J Peacock Md Pllc is an health care organization with primary practice located at 512 N Young St Suite C, Kennewick WA 99336-7806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Columbia Rheumatology can be contacted via phone (509) 783-2000, or through Peacock, Derek J via phone (509) 783-2000.

Contact Information

Primary practice address
512 N Young St Suite C Kennewick WA 99336-7806
Phone: (509) 783-2000
Fax: (509) 783-2008
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Derek J Doctor of Medicine (MD)
Phone: (509) 783-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD00036578 Washington

Profile Details

NPI number 1316160237
LBN Legal business name Columbia Rheumatology
DBA Doing business as Derek J Peacock Md Pllc
Authorized official Peacock, Derek J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 16th, 2008 - about 17 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 1316160237 NPPES
Washington MEDICAID 1104777

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