Country Doctor Clinic

LBN: Osteopathic Medical Services Inc P.S.
Country Doctor Clinic is an health care organization with primary practice located at 22520 Se 218Th St , Maple Valley WA 98038-8001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is the primary health care specialty. Osteopathic Medical Services Inc P.S. can be contacted via phone (425) 432-4554, or through Alsager, Dale E via phone (425) 432-4554.

Contact Information

Primary practice address
22520 Se 218Th St Maple Valley WA 98038-8001
Phone: (425) 432-4554
Fax: (425) 432-4334
Website:
Map and Directions
Authorized official contact:
Name: Alsager, Dale E D.O., PH.D.
Phone: (425) 432-4554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OP00001485 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Washington

Profile Details

NPI number 1740453588
LBN Legal business name Osteopathic Medical Services Inc P.S.
DBA Doing business as Country Doctor Clinic
Authorized official Alsager, Dale E D.O., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Dec 17th, 2009 - about 15 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 1740453588 NPPES
Washington Other G217000642 MEDICARE

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