Privia Medical Group Washington, Pllc in Walla Walla - Clinic/center
Privia Medical Group Washington, Pllc - NPI 1780658419
Privia Medical Group Washington, Pllc is a Clinic/center in Walla Walla, Washington. Privia Medical Group Washington, Pllc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Privia Medical Group Washington, Pllc is 1780658419. The last update date is 2023-10-06.
Privia Medical Group Washington, Pllc's current location address is 55 W Tietan St, Walla Walla, Washington. You can contact this provider via phone number 5095253720 and fax number 5095221592. The mailing address for Privia Medical Group Washington, Pllc is 55 W Tietan St, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Privia Medical Group Washington, Pllc |
|---|---|
| Address | 55 W Tietan St, Walla Walla, Washington |
| Phone Number | 5095253720 |
| Fax Number | 5095221592 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Michelson Kevin |
| Telephone Number | 5095253720 |
NPI Number Detail
| NPI Number | 1780658419 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 55 W Tietan St |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993624445 |
| Phone Number | 5095253720 |
| Fax Number | 5095221592 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208199 | OR | -- | |
| 30200 | WA | L&I | |
| 7809205 | WA | -- |
Post Comment/ Review Below
What is the Privia Medical Group Washington, Pllc's 1780658419?
The Privia Medical Group Washington, Pllc's NPI (National Provider Identifier) Number is 1780658419. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Privia Medical Group Washington, Pllc is located?
The Privia Medical Group Washington, Pllc is situated at the following address: 55 W Tietan St, Walla Walla, WA, 993624445.
What is Privia Medical Group Washington, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Privia Medical Group Washington, Pllc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
When did the Privia Medical Group Washington, Pllc receive its 1780658419?
The Privia Medical Group Washington, Pllc was issued its 1780658419 on 2006-02-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Privia Medical Group Washington, Pllc most recently updated?
The details pertaining to the Privia Medical Group Washington, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2023-10-06.