Tri-City Orthopaedic Clinic, Psc in Kennewick - Orthopaedic Surgery Of The Spine
Tri-City Orthopaedic Clinic, Psc - NPI 1215020144
Tri-City Orthopaedic Clinic, Psc is a Orthopaedic Surgery Of The Spine in Kennewick, Washington. Tri-City Orthopaedic Clinic, Psc practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Tri-City Orthopaedic Clinic, Psc is 1215020144. The last update date is 2022-05-03.
Tri-City Orthopaedic Clinic, Psc's current location address is 6703 W Rio Grande Ave, Kennewick, Washington. You can contact this provider via phone number 5094605588 and fax number 5097835438. The mailing address for Tri-City Orthopaedic Clinic, Psc is 6703 W Rio Grande Ave, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-City Orthopaedic Clinic, Psc |
|---|---|
| Address | 6703 W Rio Grande Ave, Kennewick, Washington |
| Phone Number | 5094605588 |
| Fax Number | 5097835438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Merrell R Mark |
| Credentials | MD |
| Telephone Number | 5094605588 |
NPI Number Detail
| NPI Number | 1215020144 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 6703 W Rio Grande Ave |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993362623 |
| Phone Number | 5094605588 |
| Fax Number | 5097835438 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | OP60220440 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7085939 | WA | -- | |
| 116832 | WA | L & I | |
| CG4772 | WA | RAIROAD MEDICARE |
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What is the unique identifier code issued to Tri-City Orthopaedic Clinic, Psc by the Centers for Medicare & Medicaid Services (CMS)?
The Tri-City Orthopaedic Clinic, Psc has been assigned the NPI (National Provider Identifier) 1215020144. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tri-City Orthopaedic Clinic, Psc located?
The Tri-City Orthopaedic Clinic, Psc is located at 6703 W Rio Grande Ave, Kennewick, WA 993362623.
What is the Tri-City Orthopaedic Clinic, Psc's specialty and taxonomy code?
The Tri-City Orthopaedic Clinic, Psc's specialty is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code is 207Xs0117X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215020144 to Tri-City Orthopaedic Clinic, Psc?
The Tri-City Orthopaedic Clinic, Psc received its 1215020144 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information pertaining to Tri-City Orthopaedic Clinic, Psc most recently updated or revised?
The details related to Tri-City Orthopaedic Clinic, Psc, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-03.
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