Western Wa Medical Group Dept Of Nephrology
LBN: Western Washington Medical Group, Inc Ps
Western Wa Medical Group Dept Of Nephrology is an health care organization with primary practice located at 12728 19Th Ave Se Ste 300 , Everett WA 98208-6676. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Western Washington Medical Group, Inc Ps can be contacted via phone (425) 258-6801, or through Mcginnis, Vicki via phone (425) 259-4041.
Contact Information
Primary practice address
12728 19Th Ave Se Ste 300
Everett WA 98208-6676
Phone: (425) 258-6801
Fax: (425) 258-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 601474013 | Washington |
Profile Details
| NPI number | 1417175811 |
|---|---|
| LBN Legal business name | Western Washington Medical Group, Inc Ps |
| DBA Doing business as | Western Wa Medical Group Dept Of Nephrology |
| Authorized official | Mcginnis, Vicki |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | May 24th, 2024 - about last year |
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 | 1417175811 | NPPES |
| Washington | Other | 0050081 | LABOR & INDUSTRY |
| Washington | MEDICAID | 7057029 | LABOR & INDUSTRY |
| Washington | Other | CJ9333 | LABOR & INDUSTRY |
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