Northwest Cardiovascular

LBN: Northwest Cardiovascular
Northwest Cardiovascular is an health care organization with primary practice located at 1812 S J St Suite 210, Tacoma WA 98405-4964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Northwest Cardiovascular can be contacted via phone (253) 572-8777, or through Medeen, Glenda Lee via phone (253) 572-8777.

Contact Information

Primary practice address
1812 S J St Suite 210 Tacoma WA 98405-4964
Phone: (253) 572-8777
Fax: (253) 572-8835
Website:
Map and Directions
Authorized official contact:
Name: Medeen, Glenda Lee
Phone: (253) 572-8777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1700902368
LBN Legal business name Northwest Cardiovascular
DBA Doing business as
Authorized official Medeen, Glenda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Dec 17th, 2007 - about 18 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 1700902368 NPPES
Washington MEDICAID 7129372

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