Providence Health & Services Mt in Liberty Lake - Family Medicine
Providence Health & Services Mt - NPI 1790931517
Providence Health & Services Mt is a Family Medicine in Liberty Lake, Washington. Providence Health & Services Mt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Providence Health & Services Mt is 1790931517. The last update date is 2021-07-09.
Providence Health & Services Mt's current location address is Po Box 12, Liberty Lake, Washington. You can contact this provider via phone number 4063271918 and fax number 4063292937. The mailing address for Providence Health & Services Mt is Po Box 12, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Mt |
|---|---|
| Address | Po Box 12, Liberty Lake, Washington |
| Phone Number | 4063271918 |
| Fax Number | 4063292937 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR REIMB |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1790931517 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2021-07-09 |
Provider Mailing Address Detail
| Address | Po Box 12 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190012 |
| Phone Number | 4063271918 |
| Fax Number | 4063292937 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 8445 |
|
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 |
|---|---|---|---|
| 8445 | MT | MEDICAL LICENSE NUMBER |
Post Comment/ Review Below
What is the Providence Health & Services Mt's unique identification number?
The Providence Health & Services Mt has been assigned the NPI (National Provider Identifier) Number 1790931517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Providence Health & Services Mt's facilities are geographically located?
The facilities of Providence Health & Services Mt are physically situated at the following location: Po Box 12, Liberty Lake, WA, 990190012.
What is Providence Health & Services Mt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Providence Health & Services Mt is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did the Providence Health & Services Mt receive its 1790931517?
The Providence Health & Services Mt was issued its 1790931517 on 2008-08-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Providence Health & Services Mt most recently updated or revised?
The information pertaining to Providence Health & Services Mt, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-09.
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