Pacific Kids Pediatric Therapy, Llc

LBN: Pacific Kids Pediatric Therapy, Llc
Pacific Kids Pediatric Therapy, Llc is an health care organization with primary practice located at 148 Harborview Drive , Bellingham WA 98229. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pacific Kids Pediatric Therapy, Llc can be contacted via phone (360) 393-6210, or through Brask, Shelly via phone (360) 393-6210.

Contact Information

Primary practice address
148 Harborview Drive Bellingham WA 98229
Phone: (360) 393-6210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brask, Shelly OTRL
Phone: (360) 393-6210

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X OT00002502 Washington

Profile Details

NPI number 1962556258
LBN Legal business name Pacific Kids Pediatric Therapy, Llc
DBA Doing business as
Authorized official Brask, Shelly OTRL
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 25th, 2008 - about 16 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 1962556258 NPPES
Washington MEDICAID 7683923

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