Sky Valley Psychedelic Medical

LBN: Sky Valley Psychedelic Medical
Sky Valley Psychedelic Medical is an health care organization with primary practice located at 101 E Main St Ste 209 , Monroe WA 98272-1519. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Sky Valley Psychedelic Medical can be contacted via phone (360) 949-7555, or through Lovejoy, John Palmer via phone (360) 949-7555.

Contact Information

Primary practice address
101 E Main St Ste 209 Monroe WA 98272-1519
Phone: (360) 949-7555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lovejoy, John Palmer
Phone: (360) 949-7555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1689386807
LBN Legal business name Sky Valley Psychedelic Medical
DBA Doing business as Sky Valley Psychedelic Medical
Authorized official Lovejoy, John Palmer
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2022
Last updated Dec 23rd, 2022 - 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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