West Olympia Family Medicine Inc, Pc
LBN: West Olympia Family Medicine Inc, Pc
West Olympia Family Medicine Inc, Pc is an health care organization with primary practice located at 402 Black Hills Ln Sw Ste B , Olympia WA 98502-8146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
West Olympia Family Medicine Inc, Pc can be contacted via phone (360) 754-4837, or through Wellock, Matthew T. via phone (360) 754-4837.
Contact Information
Primary practice address
402 Black Hills Ln Sw Ste B
Olympia WA 98502-8146
Phone: (360) 754-4837
Fax: (360) 754-7304
Website:
Authorized official contact:
Name: Wellock, Matthew T. Doctor of Medicine (MD)
Phone: (360) 754-4837
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00045733 | Washington |
Profile Details
| NPI number | 1225257363 |
|---|---|
| LBN Legal business name | West Olympia Family Medicine Inc, Pc |
| DBA Doing business as | |
| Authorized official | Wellock, Matthew T. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Apr 20th, 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 | 1225257363 | NPPES |
| Washington | MEDICAID | 1124098 |
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