David C Wynecoop Memorial Clinic in Wellpinit - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
David C Wynecoop Memorial Clinic - NPI 1003963000
David C Wynecoop Memorial Clinic is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Wellpinit, Washington. David C Wynecoop Memorial Clinic practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for David C Wynecoop Memorial Clinic is 1003963000. The last update date is 2020-08-22.
David C Wynecoop Memorial Clinic's current location address is 6203 Agency Loop Road, Wellpinit, Washington. You can contact this provider via phone number 5092584517 and fax number 5092587152. The mailing address for David C Wynecoop Memorial Clinic is 6203 Agency Loop Road, Wellpinit, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David C Wynecoop Memorial Clinic |
|---|---|
| Address | 6203 Agency Loop Road, Wellpinit, Washington |
| Phone Number | 5092584517 |
| Fax Number | 5092587152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Wiles N William |
| Telephone Number | 5092584517 |
NPI Number Detail
| NPI Number | 1003963000 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6203 Agency Loop Road |
|---|---|
| City | Wellpinit |
| State | Washington (WA) |
| Post Code | 990400357 |
| Phone Number | 5092584517 |
| Fax Number | 5092587152 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4926309 | WA | NCPDP NUMBER | |
| PH00052198 | WA | LICENSE | |
| PH00044329 | WA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David C Wynecoop Memorial Clinic by the Centers for Medicare & Medicaid Services?
The David C Wynecoop Memorial Clinic has been issued the NPI (National Provider Identifier) 1003963000, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David C Wynecoop Memorial Clinic is located?
The David C Wynecoop Memorial Clinic is situated at the following address: 6203 Agency Loop Road, Wellpinit, WA, 990400357.
What is David C Wynecoop Memorial Clinic's area of expertise and its corresponding taxonomy classification?
The David C Wynecoop Memorial Clinic's field of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and it falls under the taxonomy code 332800000X, which categorizes healthcare providers based on their areas of practice.
When did David C Wynecoop Memorial Clinic receive its 1003963000 assignment?
The David C Wynecoop Memorial Clinic was assigned its 1003963000 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding David C Wynecoop Memorial Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David C Wynecoop Memorial Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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