Stacey L. Hiles, M.D., Pllc

LBN: Stacey L. Hiles, M.D., Pllc
Stacey L. Hiles, M.D., Pllc is an health care organization with primary practice located at 17900 Talbot Rd S Suite 101, Renton WA 98055-8212. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Stacey L. Hiles, M.D., Pllc can be contacted via phone (425) 235-9614, or through Hiles, Stacey L. via phone (425) 235-9614.

Contact Information

Primary practice address
17900 Talbot Rd S Suite 101 Renton WA 98055-8212
Fax: (425) 235-1060
Website:
Authorized official contact:
Name: Hiles, Stacey L. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 60021347 Washington

Profile Details

NPI number 1093963795
LBN Legal business name Stacey L. Hiles, M.D., Pllc
DBA Doing business as
Authorized official Hiles, Stacey L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2008
Last updated Dec 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093963795 NPPES
Washington MEDICAID 1126143

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