Primary Care Northwest, Pllc

LBN: Primary Care Northwest, Pllc
Primary Care Northwest, Pllc is an health care organization with primary practice located at 1812 S J St #102, Tacoma WA 98405-4964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Primary Care Northwest, Pllc can be contacted via phone (253) 552-4900, or through Nagel, Kim via phone (253) 552-5301.

Contact Information

Primary practice address
1812 S J St #102 Tacoma WA 98405-4964
Fax: (253) 627-1886
Website:
Authorized official contact:
Name: Nagel, Kim

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1609849504
LBN Legal business name Primary Care Northwest, Pllc
DBA Doing business as
Authorized official Nagel, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 14th, 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 1609849504 NPPES
Washington MEDICAID 7097306

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