Vancouver Medical Weight Loss Clinic

LBN: Vancouver Medical Weight Loss Clinic
Vancouver Medical Weight Loss Clinic is an health care organization with primary practice located at 10000 Ne 7Th Ave Suite 110, Vancouver WA 98685-4599. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Vancouver Medical Weight Loss Clinic can be contacted via phone (360) 571-7177, or through Gerhard, Glenn Thomas via phone (360) 571-7177.

Contact Information

Primary practice address
10000 Ne 7Th Ave Suite 110 Vancouver WA 98685-4599
Phone: (360) 571-7177
Fax: (360) 843-4085
Website:
Map and Directions
Authorized official contact:
Name: Gerhard, Glenn Thomas MD PHD
Phone: (360) 571-7177

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD00035811 Washington

Profile Details

NPI number 1497929152
LBN Legal business name Vancouver Medical Weight Loss Clinic
DBA Doing business as
Authorized official Gerhard, Glenn Thomas MD PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Apr 14th, 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 1497929152 NPPES
Washington MEDICAID 1113943

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