Eastside Family Medicine Clinic
LBN: Eastside Family Medicine Clinic
Eastside Family Medicine Clinic is an health care organization with primary practice located at 1200 112Th Ave Ne Ste C160, Bellevue WA 98004-3732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Eastside Family Medicine Clinic can be contacted via phone (425) 453-1039, or through Hebert, Maria G via phone (425) 453-1039.
Contact Information
Primary practice address
1200 112Th Ave Ne Ste C160
Bellevue WA 98004-3732
Phone: (425) 453-1039
Fax: (425) 453-8955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1548373368 |
|---|---|
| LBN Legal business name | Eastside Family Medicine Clinic |
| DBA Doing business as | |
| Authorized official | Hebert, Maria G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548373368 | NPPES |
| Washington | MEDICAID | 7006240 |
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