Lighthouse Family Clinic Llc

LBN: Lighthouse Family Clinic Llc
Lighthouse Family Clinic Llc is an health care organization with primary practice located at 114 E Chance A La Mer Ne # 107, Ocean Shores WA 98569-9202. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Lighthouse Family Clinic Llc can be contacted via phone (360) 940-7465, or through Miller, William Thomas via phone (360) 940-7465.

Contact Information

Primary practice address
114 E Chance A La Mer Ne # 107 Ocean Shores WA 98569-9202
Phone: (360) 940-7465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, William Thomas ARNP
Phone: (360) 940-7465

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60249842 Washington

Profile Details

NPI number 1801163282
LBN Legal business name Lighthouse Family Clinic Llc
DBA Doing business as
Authorized official Miller, William Thomas ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2011
Last updated Mar 7th, 2023 - about 2 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 1801163282 NPPES
Washington MEDICAID 2014973
Washington Other 603-142-599

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