Port Hadlock Medical Care Llc

LBN: Port Hadlock Medical Care Llc
Port Hadlock Medical Care Llc is an health care organization with primary practice located at 121 Oak Bay Rd , Port Hadlock WA 98339-8718. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Port Hadlock Medical Care Llc can be contacted via phone (360) 379-6737, or through Carlyle Carlson, Peg via phone (360) 379-6737.

Contact Information

Primary practice address
121 Oak Bay Rd Port Hadlock WA 98339-8718
Phone: (360) 379-6737
Fax: (360) 379-6518
Website:
Map and Directions
Authorized official contact:
Name: Carlyle Carlson, Peg
Phone: (360) 379-6737

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1831274471
LBN Legal business name Port Hadlock Medical Care Llc
DBA Doing business as
Authorized official Carlyle Carlson, Peg
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 11th, 2012 - about 13 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 1831274471 NPPES
Washington MEDICAID 9646688

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