Puyallup Clinic Inc in Puyallup - Clinic/center
Puyallup Clinic Inc - NPI 1497874903
Puyallup Clinic Inc is a Clinic/center in Puyallup, Washington. Puyallup Clinic Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Puyallup Clinic Inc is 1497874903. The last update date is 2019-07-31.
Puyallup Clinic Inc's current location address is 800 S Meridian Ste A, Puyallup, Washington. You can contact this provider via phone number 2538456645 and fax number 2537702295. The mailing address for Puyallup Clinic Inc is 800 S Meridian Ste A, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Puyallup Clinic Inc |
|---|---|
| Address | 800 S Meridian Ste A, Puyallup, Washington |
| Phone Number | 2538456645 |
| Fax Number | 2537702295 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duris Fred Jerry |
| Credentials | MD |
| Telephone Number | 2538456645 |
NPI Number Detail
| NPI Number | 1497874903 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 800 S Meridian Ste A |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983716994 |
| Phone Number | 2538456645 |
| Fax Number | 2537702295 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 261Q00000X |
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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 |
|---|---|---|---|
| 7120363 | WA | -- |
Post Comment/ Review Below
What is the Puyallup Clinic Inc's unique identification number?
The Puyallup Clinic Inc has been assigned the NPI (National Provider Identifier) Number 1497874903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Puyallup Clinic Inc located?
The Puyallup Clinic Inc is located at 800 S Meridian Ste A, Puyallup, WA 983716994.
What is Puyallup Clinic Inc's area of expertise and its corresponding taxonomy classification?
The Puyallup Clinic Inc's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1497874903 to Puyallup Clinic Inc?
The Centers for Medicare & Medicaid Services assigned the 1497874903 to Puyallup Clinic Inc on 2007-03-28.
When was the information regarding Puyallup Clinic Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Puyallup Clinic Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-31.