The Specialty Clinic Inc. Pc

LBN: Robert W Craven Md Pc
The Specialty Clinic Inc. Pc is an health care organization with primary practice located at 315 E 8Th St , Port Angeles WA 98362-6217. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Robert W Craven Md Pc can be contacted via phone (360) 417-5189, or through Craven, Robert W via phone (360) 417-5189.

Contact Information

Primary practice address
315 E 8Th St Port Angeles WA 98362-6217
Phone: (360) 417-5189
Fax: (360) 417-5190
Website:
Map and Directions
Authorized official contact:
Name: Craven, Robert W Doctor of Medicine (MD)
Phone: (360) 417-5189

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00029457 Washington

Profile Details

NPI number 1700090503
LBN Legal business name Robert W Craven Md Pc
DBA Doing business as The Specialty Clinic Inc. Pc
Authorized official Craven, Robert W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Dec 21st, 2015 - about 9 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 1700090503 NPPES
Washington MEDICAID 7091903

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