Enriqueta C. Mayuga, Md Ps

LBN: Holy Family Medical
Enriqueta C. Mayuga, Md Ps is an health care organization with primary practice located at 531 W Park St Ste 1 , Pasco WA 99301-5270. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Holy Family Medical can be contacted via phone (509) 547-5261, or through Mayuga, Enriqueta via phone (509) 547-5261.

Contact Information

Primary practice address
531 W Park St Ste 1 Pasco WA 99301-5270
Fax:
Website:
Authorized official contact:
Name: Mayuga, Enriqueta Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD00010863 Washington

Profile Details

NPI number 1053543231
LBN Legal business name Holy Family Medical
DBA Doing business as Enriqueta C. Mayuga, Md Ps
Authorized official Mayuga, Enriqueta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 15 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 1053543231 NPPES
Washington MEDICAID 1023654

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