4Th Street Medical Care Pllc in Marysville - Primary Care
4Th Street Medical Care Pllc - NPI 1659559409
4Th Street Medical Care Pllc is a Primary Care in Marysville, Washington. 4Th Street Medical Care Pllc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for 4Th Street Medical Care Pllc is 1659559409. The last update date is 2014-12-08.
4Th Street Medical Care Pllc's current location address is 1602 4th St, Marysville, Washington. You can contact this provider via phone number 3606594141 and fax number 3606591712. The mailing address for 4Th Street Medical Care Pllc is 1602 4th St, Marysville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 4Th Street Medical Care Pllc |
|---|---|
| Address | 1602 4th St, Marysville, Washington |
| Phone Number | 3606594141 |
| Fax Number | 3606591712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ho Santosa |
| Credentials | M.D. |
| Telephone Number | 3606594141 |
NPI Number Detail
| NPI Number | 1659559409 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2014-12-08 |
Provider Mailing Address Detail
| Address | 1602 4th St |
|---|---|
| City | Marysville |
| State | Washington (WA) |
| Post Code | 982705014 |
| Phone Number | 3606594141 |
| Fax Number | 3606591712 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 602329907 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the 4Th Street Medical Care Pllc's 1659559409?
The 4Th Street Medical Care Pllc's NPI (National Provider Identifier) Number is 1659559409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of 4Th Street Medical Care Pllc?
The 4Th Street Medical Care Pllc is situated at 1602 4Th St, in the city of Marysville, state of WA, with the zip code 982705014.
What is 4Th Street Medical Care Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 4Th Street Medical Care Pllc is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date was the 1659559409 assigned to 4Th Street Medical Care Pllc?
The 4Th Street Medical Care Pllc was issued its 1659559409 on 2008-02-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the 4Th Street Medical Care Pllc's details last updated?
The information pertaining to the 4Th Street Medical Care Pllc, including its address, specialty, and other details, was most recently updated on 2014-12-08.