Tacoma South Medical Clinic
LBN: Franciscan Medical Group
Tacoma South Medical Clinic is an health care organization with primary practice located at 2111 S 90Th St , Tacoma WA 98444-1822. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Franciscan Medical Group can be contacted via phone (253) 539-9700, or through Robertson, Cliff A via phone (253) 779-6101.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00041631 | Washington |
Profile Details
| NPI number | 1275562928 |
|---|---|
| LBN Legal business name | Franciscan Medical Group |
| DBA Doing business as | Tacoma South Medical Clinic |
| Authorized official | Robertson, Cliff A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jun 20th, 2008 - about 16 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 | 1275562928 | NPPES |
| Washington | Other | 0126502 | STATE L&I |
| Washington | Other | 8926851 | STATE L&I |
| Washington | MEDICAID | 7093792 | STATE L&I |
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