Okubo Family Practice Clinic-Ft Lewis
LBN: Madigan Army Medical Ctr
Okubo Family Practice Clinic-Ft Lewis is an health care organization with primary practice located at Bldg 11582 17Th And C Street , North Fort Lewis WA 98433. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure is the primary health care specialty.
Madigan Army Medical Ctr can be contacted via phone (253) 966-1991, or through Mady, Karen via phone (253) 968-6598.
Contact Information
Primary practice address
Bldg 11582 17Th And C Street
North Fort Lewis WA 98433
Phone: (253) 966-1991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
| Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1992910806 |
|---|---|
| LBN Legal business name | Madigan Army Medical Ctr |
| DBA Doing business as | Okubo Family Practice Clinic-Ft Lewis |
| Authorized official | Mady, Karen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Apr 13th, 2015 - about 9 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 | 1992910806 | NPPES |
| Other | AN2598588 | MEDCO | |
| Other | 1841390077 | MEDCO |
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