Frederick A Montgomery Md Inc Ps
LBN: Frederick A Montgomery Md Inc Ps
Frederick A Montgomery Md Inc Ps is an health care organization with primary practice located at 215 So 11Th # D , Yakima WA 98902. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Frederick A Montgomery Md Inc Ps can be contacted via phone (509) 248-6192, or through Montgomery, Frederick A via phone (509) 248-6192.
Contact Information
Primary practice address
215 So 11Th # D
Yakima WA 98902
Phone: (509) 248-6192
Fax: (509) 452-5433
Website:
Authorized official contact:
Name: Montgomery, Frederick A Doctor of Medicine (MD)
Phone: (509) 248-6192
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | MD00009512 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00009512 | Washington |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD00009512 | Washington |
Profile Details
| NPI number | 1457410961 |
|---|---|
| LBN Legal business name | Frederick A Montgomery Md Inc Ps |
| DBA Doing business as | |
| Authorized official | Montgomery, Frederick A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2006 |
| 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 | 1457410961 | NPPES |
| Washington | MEDICAID | 1591403 |
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