The Specialty Care Shop

LBN: The Specialty Care Shop
The Specialty Care Shop is an health care organization with primary practice located at 1620 S Taverner Dr , Ridgefield WA 98642-7802. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. The Specialty Care Shop can be contacted via phone (360) 887-4124, or through Lindsley, David via phone (360) 887-4124.

Contact Information

Primary practice address
1620 S Taverner Dr Ridgefield WA 98642-7802
Phone: (360) 887-4124
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lindsley, David
Phone: (360) 887-4124

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 601756021 Washington

Profile Details

NPI number 1356509681
LBN Legal business name The Specialty Care Shop
DBA Doing business as
Authorized official Lindsley, David
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 17 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 1356509681 NPPES
Washington MEDICAID 9061821

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