Providence Physician Group
LBN: Providence Physician Group
Providence Physician Group is an health care organization with primary practice located at 1830 Bickford Ave Suite 211, Snohomish WA 98290-1749. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Physician Group can be contacted via phone (360) 568-1502, or through Schumacher, Barbara via phone (360) 568-1502.
Contact Information
Primary practice address
1830 Bickford Ave Suite 211
Snohomish WA 98290-1749
Phone: (360) 568-1502
Fax: (360) 568-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1225068265 |
|---|---|
| LBN Legal business name | Providence Physician Group |
| DBA Doing business as | |
| Authorized official | Schumacher, Barbara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 11th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225068265 | NPPES |
| Washington | MEDICAID | 7095326 |
Popular Providers
-
Breckinridge Health Inc.
105 Chambliss Dr , Hardinsburg KY 40143-2575 -
Ding Lei A Professional Medical Corp
1661 Hanover Rd Ste 101, City Of Industry CA 91748-1796 -
Western Washington Medical Group, Inc Ps
629 Avenue D , Snohomish WA 98290-2330 -
Shackelford County Rural Health
450 Kenshalo St. , Albany TX 76430-1567 -
Wright State Physicians Inc
725 University Blvd , Dayton OH 45435-0001 -
Total Family Healthcare, Inc.
4041 W Sylvania Ave Ste 5, Toledo OH 43623-4465 -
Brandon Medical Wellness Center
807 S Parsons Ave , Brandon FL 33511-6063 -
Gateway Family Health Clinic, Ltd.
4570 Cty Hwy 61 , Moose Lake MN 55767-9401