Ehs First Care Liberty Lake

LBN: Steven O Thomas Md
Ehs First Care Liberty Lake is an health care organization with primary practice located at 2207 N Molter Rd , Liberty Lake WA 99019-7570. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Steven O Thomas Md can be contacted via phone (509) 473-5850, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
2207 N Molter Rd Liberty Lake WA 99019-7570
Phone: (509) 473-5850
Fax: (509) 473-5500
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X MD00015869 Washington

Profile Details

NPI number 1336360064
LBN Legal business name Steven O Thomas Md
DBA Doing business as Ehs First Care Liberty Lake
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Jan 25th, 2010 - about 14 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 1336360064 NPPES
Other 4932477 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 8114704 NCPDP PROVIDER IDENTIFICATION NUMBER

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