Western Pacific Med-Corp in - Methadone

Western Pacific Med-Corp - NPI 1750423620

Western Pacific Med-Corp is a Methadone in , . Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1750423620. The last update date is 2015-09-28.

Western Pacific Med-Corp's current location address is , , . You can contact this provider via phone number . The mailing address for Western Pacific Med-Corp is , , . To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Pacific Med-Corp
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.E.O.
Authorized Official Name Hickman Mark
Telephone Number 8189563737

NPI Number Detail

NPI Number 1750423620
Provider Enumeration Date 2007-02-13
Last Updated Date 2015-09-28

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No 30-11
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CMM70208F CA MEDICAL PROVIDER
3099 CA DRUG MEDICAL PROVIDER

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FAQs about Western Pacific Med-Corp

What is the unique identifier code issued to Western Pacific Med-Corp by the Centers for Medicare & Medicaid Services (CMS)?

The Western Pacific Med-Corp has been assigned the NPI (National Provider Identifier) 1750423620. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Western Pacific Med-Corp is physically located?

The Western Pacific Med-Corp is physically situated at the following address: , , , .

What is the Western Pacific Med-Corp's area of specialization and corresponding taxonomy classification?

The Western Pacific Med-Corp's specialty field is Methadone, and it falls under the taxonomy code 261Qm2800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1750423620 to Western Pacific Med-Corp?

The Centers for Medicare & Medicaid Services assigned the 1750423620 to Western Pacific Med-Corp on 2007-02-13.

As of what date were the details related to Western Pacific Med-Corp most recently updated or revised?

The information pertaining to Western Pacific Med-Corp, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-28.

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