Fasa Family Wellness, Pllc in Tumwater - Ambulatory Surgical
Fasa Family Wellness, Pllc - NPI 1255351714
Fasa Family Wellness, Pllc is a Ambulatory Surgical in Tumwater, Washington. Fasa Family Wellness, Pllc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Fasa Family Wellness, Pllc is 1255351714. The last update date is 2021-05-20.
Fasa Family Wellness, Pllc's current location address is 1610 Bishop Rd Sw, Tumwater, Washington. You can contact this provider via phone number 3607543338 and fax number 3607534861. The mailing address for Fasa Family Wellness, Pllc is 1610 Bishop Rd Sw, Tumwater, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fasa Family Wellness, Pllc |
|---|---|
| Address | 1610 Bishop Rd Sw, Tumwater, Washington |
| Phone Number | 3607543338 |
| Fax Number | 3607534861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Eberhard Dana |
| Telephone Number | 3607062767 |
NPI Number Detail
| NPI Number | 1255351714 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2021-05-20 |
Provider Mailing Address Detail
| Address | 1610 Bishop Rd Sw |
|---|---|
| City | Tumwater |
| State | Washington (WA) |
| Post Code | 985127303 |
| Phone Number | 3607543338 |
| Fax Number | 3607534861 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 602208923 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7122203 | WA | -- | |
| 2047753 | WA | -- | |
| 50D2089344 | WA | CLIA WAIVER |
Post Comment/ Review Below
What is the Fasa Family Wellness, Pllc's 1255351714?
The Fasa Family Wellness, Pllc's NPI (National Provider Identifier) Number is 1255351714. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Fasa Family Wellness, Pllc's physical address?
The Fasa Family Wellness, Pllc is physically located at 1610 Bishop Rd Sw, in the city of Tumwater, WA, with the postal code 985127303.
What is the area of specialization for Fasa Family Wellness, Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fasa Family Wellness, Pllc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255351714 to Fasa Family Wellness, Pllc?
The Fasa Family Wellness, Pllc received its 1255351714 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the information regarding Fasa Family Wellness, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fasa Family Wellness, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-20.