Hearthstone Dermatology Nonprofit Professional Services

LBN: Hearthstone Dermatology Nonprofit Professional Services
Hearthstone Dermatology Nonprofit Professional Services is an health care organization with primary practice located at 828 Mox Chehalis Rd , Mccleary WA 98557-9408. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Hearthstone Dermatology Nonprofit Professional Services can be contacted via phone (360) 470-0671, or through Tzenov, Geneva via phone (360) 470-0671.

Contact Information

Primary practice address
828 Mox Chehalis Rd Mccleary WA 98557-9408
Phone: (360) 470-0671
Fax: (360) 464-2617
Website:
Map and Directions
Authorized official contact:
Name: Tzenov, Geneva FNP-C
Phone: (360) 470-0671

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1477169753
LBN Legal business name Hearthstone Dermatology Nonprofit Professional Services
DBA Doing business as
Authorized official Tzenov, Geneva FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2020
Last updated Sep 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477169753 NPPES
Washington MEDICAID 2012498

Popular Providers