Edmonds Family Care, Pllc

LBN: Edmonds Family Care, Pllc
Edmonds Family Care, Pllc is an health care organization with primary practice located at 6101 200Th St Sw Ste#208, Lynnwood WA 98036-6077. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Edmonds Family Care, Pllc can be contacted via phone (425) 775-2066, or through Bugaichuk, Svetlana A via phone (425) 775-2066.

Contact Information

Primary practice address
6101 200Th St Sw Ste#208 Lynnwood WA 98036-6077
Phone: (425) 775-2066
Fax: (425) 775-5306
Website:
Map and Directions
Authorized official contact:
Name: Bugaichuk, Svetlana A
Phone: (425) 775-2066

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 602496426 Washington

Profile Details

NPI number 1184751638
LBN Legal business name Edmonds Family Care, Pllc
DBA Doing business as
Authorized official Bugaichuk, Svetlana A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Nov 8th, 2021 - 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 1184751638 NPPES
Washington MEDICAID 7128606
Washington Other 0199257

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