Privia Medical Group Washington, Pllc in Walla Walla - Rural Health
Privia Medical Group Washington, Pllc - NPI 1346441979
Privia Medical Group Washington, Pllc is a Rural Health in Walla Walla, Washington. Privia Medical Group Washington, Pllc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Privia Medical Group Washington, Pllc is 1346441979. 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 5095221292. 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 | 5095221292 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Michelson J Kevin |
| Telephone Number | 5095253720 |
NPI Number Detail
| NPI Number | 1346441979 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| 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 | 5095221292 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | FX00058422 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7086820 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Privia Medical Group Washington, Pllc by the Centers for Medicare & Medicaid Services?
The Privia Medical Group Washington, Pllc has been issued the NPI (National Provider Identifier) 1346441979. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Privia Medical Group Washington, Pllc is geographically located?
The Privia Medical Group Washington, Pllc is physically situated at the following location: 55 W Tietan St, Walla Walla, WA, 993624445.
What is the Privia Medical Group Washington, Pllc's specialty and taxonomy code?
The Privia Medical Group Washington, Pllc's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
On what date was the 1346441979 assigned to Privia Medical Group Washington, Pllc?
The Privia Medical Group Washington, Pllc was issued its 1346441979 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Privia Medical Group Washington, Pllc most recently updated or revised?
The details related to Privia Medical Group Washington, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-06.
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