Psa Healthcare

LBN: Pediatric Services Of America, Llc
Psa Healthcare is an health care organization with primary practice located at 2700 Ne Andresen Rd Suite D-3, Vancouver WA 98661-7347. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (360) 693-7595, or through Whiteside, Vicki via phone (770) 248-8740.

Contact Information

Primary practice address
2700 Ne Andresen Rd Suite D-3 Vancouver WA 98661-7347
Phone: (360) 693-7595
Fax: (360) 693-7262
Website:
Map and Directions
Authorized official contact:
Name: Whiteside, Vicki
Phone: (770) 248-8740

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1114956646
LBN Legal business name Pediatric Services Of America, Llc
DBA Doing business as Psa Healthcare
Authorized official Whiteside, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 31st, 2021 - about 3 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 1114956646 NPPES
Washington MEDICAID 9049561
Washington MEDICAID 746106

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