Providence Medical Group Chehalis Family Medicine

LBN: Providence Health & Services Washington
Providence Medical Group Chehalis Family Medicine is an health care organization with primary practice located at 931 S Market Blvd , Chehalis WA 98532-3423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 767-6300, or through Harris, Daniel T via phone (425) 687-3603.

Contact Information

Primary practice address
931 S Market Blvd Chehalis WA 98532-3423
Phone: (360) 767-6300
Fax: (360) 767-6320
Website:
Map and Directions
Authorized official contact:
Name: Harris, Daniel T
Phone: (425) 687-3603

Health care specialties

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

Profile Details

NPI number 1518264357
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Medical Group Chehalis Family Medicine
Authorized official Harris, Daniel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2011
Last updated Apr 20th, 2011 - about 14 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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