Broadway Clinic Inc in Aberdeen - Family Medicine
Broadway Clinic Inc - NPI 1548370547
Broadway Clinic Inc is a Family Medicine in Aberdeen, Washington. Broadway Clinic Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Broadway Clinic Inc is 1548370547. The last update date is 2020-08-22.
Broadway Clinic Inc's current location address is Po Box 149, Aberdeen, Washington. You can contact this provider via phone number 3605387292 and fax number 3605332566. The mailing address for Broadway Clinic Inc is Po Box 149, Aberdeen, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Clinic Inc |
|---|---|
| Address | Po Box 149, Aberdeen, Washington |
| Phone Number | 3605387292 |
| Fax Number | 3605332566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FAMILY MED |
|---|---|
| Authorized Official Name | Johnson Douglass Antoine |
| Credentials | MD |
| Telephone Number | 3605387292 |
NPI Number Detail
| NPI Number | 1548370547 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 149 |
|---|---|
| City | Aberdeen |
| State | Washington (WA) |
| Post Code | 985200063 |
| Phone Number | 3605387292 |
| Fax Number | 3605332566 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7109903 | WA | -- |
Post Comment/ Review Below
What is the Broadway Clinic Inc's 1548370547?
The Broadway Clinic Inc's NPI (National Provider Identifier) Number is 1548370547. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Broadway Clinic Inc's facilities are situated?
The facilities of Broadway Clinic Inc are physically located at the following address: Po Box 149, Aberdeen, WA, 985200063.
What is the area of specialization for Broadway Clinic Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Broadway Clinic Inc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548370547 to Broadway Clinic Inc?
The Broadway Clinic Inc received its 1548370547 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the Broadway Clinic Inc's details last updated?
The information pertaining to the Broadway Clinic Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.