Western Wa Medical Group, Dept Of Primary Care
LBN: Western Washington Medical Group, Inc Ps
Western Wa Medical Group, Dept Of Primary Care is an health care organization with primary practice located at 4225 Hoyt Ave Ste D , Everett WA 98203-2351. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Western Washington Medical Group, Inc Ps can be contacted via phone (425) 317-8025, or through Edens, Amelia via phone (425) 740-4142.
Contact Information
Primary practice address
4225 Hoyt Ave Ste D
Everett WA 98203-2351
Phone: (425) 317-8025
Fax: (425) 317-9516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 601474013 | Washington |
Profile Details
| NPI number | 1649498049 |
|---|---|
| LBN Legal business name | Western Washington Medical Group, Inc Ps |
| DBA Doing business as | Western Wa Medical Group, Dept Of Primary Care |
| Authorized official | Edens, Amelia |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Aug 8th, 2023 - 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 | 1649498049 | NPPES |
| Washington | Other | 0176782 | LABOR & INDUSTRY |
| Washington | Other | CB3566 | LABOR & INDUSTRY |
| Washington | MEDICAID | 7108012 | LABOR & INDUSTRY |
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