David C Wynecoop Memorial Clinic
LBN: David C Wynecoop Memorial Clinic
David C Wynecoop Memorial Clinic is an health care organization with primary practice located at 6203 Agency Loop Road , Wellpinit WA 99040-0357. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty.
David C Wynecoop Memorial Clinic can be contacted via phone (509) 258-4517, or through Wiles, William N via phone (509) 258-4517.
Contact Information
Primary practice address
6203 Agency Loop Road
Wellpinit WA 99040-0357
Phone: (509) 258-4517
Fax: (509) 258-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1003963000 |
|---|---|
| LBN Legal business name | David C Wynecoop Memorial Clinic |
| DBA Doing business as | |
| Authorized official | Wiles, William N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003963000 | NPPES |
| Washington | Other | 4926309 | NCPDP NUMBER |
| Washington | Other | PH00052198 | NCPDP NUMBER |
| Washington | Other | PH00044329 | NCPDP NUMBER |
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