Western Washington Medical Group, Inc, Ps in Everett - Ambulatory Surgical

Western Washington Medical Group, Inc, Ps - NPI 1013138536

Western Washington Medical Group, Inc, Ps is a Ambulatory Surgical in Everett, Washington. Western Washington Medical Group, Inc, Ps practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Western Washington Medical Group, Inc, Ps is 1013138536. The last update date is 2018-10-29.

Western Washington Medical Group, Inc, Ps's current location address is 3726 Broadway Suite 206, Everett, Washington. You can contact this provider via phone number 4253745160 and fax number 4253745161. The mailing address for Western Washington Medical Group, Inc, Ps is 3726 Broadway Suite 206, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Washington Medical Group, Inc, Ps
Address 3726 Broadway Suite 206, Everett, Washington
Phone Number 4253745160
Fax Number 4253745161
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Sullivan H. Kathline
Telephone Number 4253745176

NPI Number Detail

NPI Number 1013138536
Provider Enumeration Date 2007-05-01
Last Updated Date 2018-10-29

Provider Mailing Address Detail

Address 3726 Broadway Suite 206
City Everett
State Washington (WA)
Post Code 982013787
Phone Number 4253745160
Fax Number 4253745161

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7139009 WA --

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FAQs about Western Washington Medical Group, Inc, Ps

What is the unique identifier code issued to Western Washington Medical Group, Inc, Ps by the Centers for Medicare & Medicaid Services?

The Western Washington Medical Group, Inc, Ps has been assigned the NPI (National Provider Identifier) 1013138536. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Western Washington Medical Group, Inc, Ps?

The Western Washington Medical Group, Inc, Ps is situated at 3726 Broadway Suite 206, in the city of Everett, state of WA, with the zip code 982013787.

What is Western Washington Medical Group, Inc, Ps's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Western Washington Medical Group, Inc, Ps is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.

When was the Western Washington Medical Group, Inc, Ps's 1013138536 issued?

The Western Washington Medical Group, Inc, Ps's 1013138536 was issued on 2007-05-01.

As of what date were the details related to Western Washington Medical Group, Inc, Ps most recently updated or revised?

The information pertaining to Western Washington Medical Group, Inc, Ps, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-29.

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