St Mary Physician Group
LBN: St Mary Medical Center
St Mary Physician Group is an health care organization with primary practice located at 380 Chase St , Walla Walla WA 99362. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
St Mary Medical Center can be contacted via phone (509) 522-5815, or through Columber, Susan via phone (509) 522-5906.
Contact Information
Primary practice address
380 Chase St
Walla Walla WA 99362
Phone: (509) 522-5815
Fax: (509) 522-5818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1922101575 |
|---|---|
| LBN Legal business name | St Mary Medical Center |
| DBA Doing business as | St Mary Physician Group |
| Authorized official | Columber, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Oct 2nd, 2008 - about 16 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 | 1922101575 | NPPES |
| Oregon | Other | 288144 | OMAP |
| Oregon | Other | 115284 | OMAP |
| Oregon | MEDICAID | 7028186 | OMAP |
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