Ellensburg Pediatrics Pllc in Ellensburg - Rural Health
Ellensburg Pediatrics Pllc - NPI 1639105992
Ellensburg Pediatrics Pllc is a Rural Health in Ellensburg, Washington. Ellensburg Pediatrics Pllc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Ellensburg Pediatrics Pllc is 1639105992. The last update date is 2014-07-15.
Ellensburg Pediatrics Pllc's current location address is 611 S Chestnut St, Ellensburg, Washington. You can contact this provider via phone number 5099625437 and fax number 5099625438. The mailing address for Ellensburg Pediatrics Pllc is 611 S Chestnut St, Ellensburg, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellensburg Pediatrics Pllc |
|---|---|
| Address | 611 S Chestnut St, Ellensburg, Washington |
| Phone Number | 5099625437 |
| Fax Number | 5099625438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PROV |
|---|---|
| Authorized Official Name | Herman J Elise |
| Credentials | M.D. |
| Telephone Number | 5099625437 |
NPI Number Detail
| NPI Number | 1639105992 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
| Address | 611 S Chestnut St |
|---|---|
| City | Ellensburg |
| State | Washington (WA) |
| Post Code | 989264815 |
| Phone Number | 5099625437 |
| Fax Number | 5099625438 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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Post Comment/ Review Below
What is the unique identifier code issued to Ellensburg Pediatrics Pllc by the Centers for Medicare & Medicaid Services?
The Ellensburg Pediatrics Pllc has been assigned the NPI (National Provider Identifier) 1639105992. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ellensburg Pediatrics Pllc is geographically located?
The Ellensburg Pediatrics Pllc is physically situated at the following location: 611 S Chestnut St, Ellensburg, WA, 989264815.
What is the area of specialization for Ellensburg Pediatrics Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellensburg Pediatrics Pllc is Rural Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr1300X.
On what date did Ellensburg Pediatrics Pllc receive its 1639105992 assignment from the Centers for Medicare & Medicaid Services?
The Ellensburg Pediatrics Pllc was assigned its 1639105992 on 2006-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ellensburg Pediatrics Pllc most recently updated or revised?
The information pertaining to Ellensburg Pediatrics Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2014-07-15.
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