Chad A Mongrain in Davenport - Family Medicine
Chad A Mongrain - NPI 1720028244
Chad A Mongrain is a Family Medicine in Davenport, Washington. Chad A Mongrain practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chad A Mongrain is 1720028244. The last update date is 2019-10-11.
Chad A Mongrain's current location address is 100 3rd St Ste 1, Davenport, Washington. You can contact this provider via phone number 5097257501 and fax number 5097257504. The mailing address for Chad A Mongrain is 100 3rd St Ste 1, Davenport, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chad A Mongrain |
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Address | 100 3rd St Ste 1, Davenport, Washington |
Phone Number | 5097257501 |
Fax Number | 5097257504 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1720028244 |
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Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2019-10-11 |
Provider Mailing Address Detail
Address | 100 3rd St Ste 1 |
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City | Davenport |
State | Washington (WA) |
Post Code | 991225008 |
Phone Number | 5097257501 |
Fax Number | 5097257504 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | OP00002086 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1017260 | WA | -- | |
AB06402 | WA | GROUP MEDICARE PIN | |
8452310 | WA | -- |
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What is the unique 10-digit identifier code assigned to Chad A Mongrain by the Centers for Medicare & Medicaid Services?
The Chad A Mongrain has been issued the NPI (National Provider Identifier) 1720028244 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Chad A Mongrain located?
The Chad A Mongrain is located at 100 3Rd St Ste 1, Davenport, WA 991225008.
What is Chad A Mongrain's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chad A Mongrain is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720028244 to Chad A Mongrain?
The Chad A Mongrain received its 1720028244 assignment from the Centers for Medicare & Medicaid Services on 2006-06-07.
When was the information related to Chad A Mongrain most recently updated or refreshed?
The details pertaining to the Chad A Mongrain, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY