Southgate Medical Clinic, P.S. in Seattle - Primary Care
Southgate Medical Clinic, P.S. - NPI 1336254051
Southgate Medical Clinic, P.S. is a Primary Care in Seattle, Washington. Southgate Medical Clinic, P.S. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Southgate Medical Clinic, P.S. is 1336254051. The last update date is 2020-08-22.
Southgate Medical Clinic, P.S.'s current location address is 6044 Martin Luther King Jr Way S Ste 104, Seattle, Washington. You can contact this provider via phone number 2067239853 and fax number 2067230849. The mailing address for Southgate Medical Clinic, P.S. is 6044 Martin Luther King Jr Way S Ste 104, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southgate Medical Clinic, P.S. |
|---|---|
| Address | 6044 Martin Luther King Jr Way S Ste 104, Seattle, Washington |
| Phone Number | 2067239853 |
| Fax Number | 2067230849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL PR |
|---|---|
| Authorized Official Name | Velasco A Roberto |
| Credentials | M.D. |
| Telephone Number | 2067239853 |
NPI Number Detail
| NPI Number | 1336254051 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6044 Martin Luther King Jr Way S Ste 104 |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981183179 |
| Phone Number | 2067239853 |
| Fax Number | 2067230849 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MD00022120 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7033046 | WA | -- | |
| VE4004 | WA | REGENCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southgate Medical Clinic, P.S. by the Centers for Medicare & Medicaid Services?
The Southgate Medical Clinic, P.S. has been assigned the NPI (National Provider Identifier) 1336254051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Southgate Medical Clinic, P.S.'s physical address?
The Southgate Medical Clinic, P.S. is physically located at 6044 Martin Luther King Jr Way S Ste 104, in the city of Seattle, WA, with the postal code 981183179.
What is Southgate Medical Clinic, P.S.'s area of expertise and its corresponding taxonomy classification?
The Southgate Medical Clinic, P.S.'s field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Southgate Medical Clinic, P.S. receive its 1336254051 assignment from the Centers for Medicare & Medicaid Services?
The Southgate Medical Clinic, P.S. was assigned its 1336254051 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the details pertaining to Southgate Medical Clinic, P.S. last refreshed?
The information related to the Southgate Medical Clinic, P.S., including its address, specialty, and other relevant details, was last updated on 2020-08-22.