P.C. Jail Clinic in Tacoma - Custodial Care Facility
P.C. Jail Clinic - NPI 1699828103
P.C. Jail Clinic is a Custodial Care Facility in Tacoma, Washington. P.C. Jail Clinic practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for P.C. Jail Clinic is 1699828103. The last update date is 2020-08-22.
P.C. Jail Clinic's current location address is 910 Tacoma Ave S, Tacoma, Washington. You can contact this provider via phone number 2537984033 and fax number 2537984043. The mailing address for P.C. Jail Clinic is 910 Tacoma Ave S, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | P.C. Jail Clinic |
|---|---|
| Address | 910 Tacoma Ave S, Tacoma, Washington |
| Phone Number | 2537984033 |
| Fax Number | 2537984043 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Balderrama Miguel |
| Credentials | M.D. |
| Telephone Number | 2537984033 |
NPI Number Detail
| NPI Number | 1699828103 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 910 Tacoma Ave S |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984022104 |
| Phone Number | 2537984033 |
| Fax Number | 2537984043 |
Provider's Primary Taxonomy Detail
| Speciality | Custodial Care Facility |
|---|---|
| Taxonomy | 311Z00000X |
|
Definition: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD00034248 | WA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to P.C. Jail Clinic by the Centers for Medicare & Medicaid Services?
The P.C. Jail Clinic has been assigned the NPI (National Provider Identifier) 1699828103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of P.C. Jail Clinic?
The P.C. Jail Clinic is physically situated at 910 Tacoma Ave S, in the city of Tacoma, state of WA, with the postal code 984022104.
What is P.C. Jail Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for P.C. Jail Clinic is Custodial Care Facility, and the corresponding taxonomy classification code for this specialized field is 311Z00000X.
When was the P.C. Jail Clinic's 1699828103 issued?
The P.C. Jail Clinic's 1699828103 was issued on 2007-01-19.
As of what date were the details related to P.C. Jail Clinic most recently updated or revised?
The information pertaining to P.C. Jail Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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