Pmg Nw Wa Mc Family Medicine

LBN: Providence Health & Services - Wa
Pmg Nw Wa Mc Family Medicine is an health care organization with primary practice located at 12800 Bothell Everett Hwy Suite 160, Everett WA 98208-6644. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Health & Services - Wa can be contacted via phone (425) 316-5180, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644
Phone: (425) 316-5180
Fax: (425) 316-5181
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1821249939
LBN Legal business name Providence Health & Services - Wa
DBA Doing business as Pmg Nw Wa Mc Family Medicine
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2008
Last updated Apr 8th, 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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