Deer Park Family Care Clinic

LBN: Deer Park Family Care Clinic Ps
Deer Park Family Care Clinic is an health care organization with primary practice located at 905 E D St , Deer Park WA 99006. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Deer Park Family Care Clinic Ps can be contacted via phone (509) 276-5005, or through Figueroa, Edgar A via phone (509) 276-5005.

Contact Information

Primary practice address
905 E D St Deer Park WA 99006
Phone: (509) 276-5005
Fax: (509) 276-6785
Website:
Map and Directions
Authorized official contact:
Name: Figueroa, Edgar A Doctor of Medicine (MD)
Phone: (509) 276-5005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Washington
Ambulatory Health Care Facilities / Rural Health 261QR1300X Washington

Profile Details

NPI number 1548294150
LBN Legal business name Deer Park Family Care Clinic Ps
DBA Doing business as Deer Park Family Care Clinic
Authorized official Figueroa, Edgar A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 1st, 2012 - about 13 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 1548294150 NPPES
Washington MEDICAID 7085640
Washington MEDICAID 7118326

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