Great West Family Care Pc

LBN: Great West Family Care Pc
Great West Family Care Pc is an health care organization with primary practice located at 14508 Ne 20Th Ave Suite 102, Vancouver WA 98686-6434. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Great West Family Care Pc can be contacted via phone (360) 574-9730, or through Hoffman, Rebecca L via phone (360) 574-9730.

Contact Information

Primary practice address
14508 Ne 20Th Ave Suite 102 Vancouver WA 98686-6434
Phone: (360) 574-9730
Fax: (360) 576-7662
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, Rebecca L Doctor of Medicine (MD)
Phone: (360) 574-9730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 602202713 Washington
Ambulatory Health Care Facilities / Primary Care 261QP2300X 602202713 Washington

Profile Details

NPI number 1427073840
LBN Legal business name Great West Family Care Pc
DBA Doing business as
Authorized official Hoffman, Rebecca L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427073840 NPPES
Washington MEDICAID 7124530

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