Parkview Pediatrics Inc

LBN: Parkview Pediatrics Inc
Parkview Pediatrics Inc is an health care organization with primary practice located at 615 S Division St , Moses Lake WA 98837-3800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Parkview Pediatrics Inc can be contacted via phone (509) 766-9450, or through Dudik Bross, Jill Ann via phone (509) 766-9450.

Contact Information

Primary practice address
615 S Division St Moses Lake WA 98837-3800
Fax: (509) 766-1954
Website:
Authorized official contact:
Name: Dudik Bross, Jill Ann MD FAAP

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00026434 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0025968 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60174015 Washington

Profile Details

NPI number 1609872761
LBN Legal business name Parkview Pediatrics Inc
DBA Doing business as
Authorized official Dudik Bross, Jill Ann MD FAAP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 24th, 2012 - about 12 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 1609872761 NPPES
Washington MEDICAID 7112600

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