Molina Healthcare Of Washington, Inc
LBN: Molina Healthcare Of Washington, Inc
Molina Healthcare Of Washington, Inc is an health care organization with primary practice located at 3322 Broadway, Suite 200, Everett WA 98201-4425. 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
3322 Broadway, Suite 200
Everett WA 98201-4425
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 | 1912235060 |
|---|---|
| LBN Legal business name | Molina Healthcare Of Washington, Inc |
| DBA Doing business as | |
| Authorized official | Calderon, Gloria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2009 |
| 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 | 1912235060 | NPPES |
| Washington | MEDICAID | 2005288 |
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