Jack Calvert is a Family Medicine in Selah, Washington. Jack Calvert practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Calvert is 1679631436. The last update date is 2007-07-08.
Jack Calvert's current location address is 401 Anderson Rd, Selah, Washington. You can contact this provider via phone number 5096983318. The mailing address for Jack Calvert is 401 Anderson Rd, Selah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Calvert |
|---|---|
| Address | 401 Anderson Rd, Selah, Washington |
| Phone Number | 5096983318 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1679631436 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 401 Anderson Rd |
|---|---|
| City | Selah |
| State | Washington (WA) |
| Post Code | 989429478 |
| Phone Number | 5096983318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | AP30002093 |
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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 |
|---|---|---|---|
| AP30002093 | WA | STATE OF WA ARNP LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Calvert by the Centers for Medicare & Medicaid Services?
The Jack Calvert has been issued the NPI (National Provider Identifier) 1679631436 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Calvert's facilities are geographically located?
The facilities of Jack Calvert are physically situated at the following location: 401 Anderson Rd, Selah, WA, 989429478.
What is Jack Calvert's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Calvert's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679631436 to Jack Calvert?
The Jack Calvert received its 1679631436 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the details pertaining to Jack Calvert last refreshed?
The information related to the Jack Calvert, including its address, specialty, and other relevant details, was last updated on 2007-07-08.