Molina Medical Group - Washington
LBN: Molina Healthcare Of Washington, Inc
Molina Medical Group - Washington is an health care organization with primary practice located at 15 Sw Everett Mall Way Suite A, Everett WA 98208-2777. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Molina Healthcare Of Washington, Inc can be contacted via phone (562) 499-6191, or through Calderon, Gloria via phone (562) 499-6191.
Contact Information
Primary practice address
15 Sw Everett Mall Way Suite A
Everett WA 98208-2777
Phone: (562) 499-6191
Fax: (562) 499-6171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1891000725 |
|---|---|
| LBN Legal business name | Molina Healthcare Of Washington, Inc |
| DBA Doing business as | Molina Medical Group - Washington |
| Authorized official | Calderon, Gloria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Sep 27th, 2011 - about 13 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 | 1891000725 | NPPES |
| Washington | MEDICAID | 2010594 |
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