N.W. Pediatric Center Inc Ps in Centralia - Pediatrics

N.W. Pediatric Center Inc Ps - NPI 1518034180

N.W. Pediatric Center Inc Ps is a Pediatrics in Centralia, Washington. N.W. Pediatric Center Inc Ps practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for N.W. Pediatric Center Inc Ps is 1518034180. The last update date is 2009-06-11.

N.W. Pediatric Center Inc Ps's current location address is 1911 Cooks Hill Rd, Centralia, Washington. You can contact this provider via phone number 3607366778 and fax number 3607366552. The mailing address for N.W. Pediatric Center Inc Ps is 1911 Cooks Hill Rd, Centralia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization N.W. Pediatric Center Inc Ps
Address 1911 Cooks Hill Rd, Centralia, Washington
Phone Number 3607366778
Fax Number 3607366552
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Mckay Gail Lisa
Telephone Number 3607366778

NPI Number Detail

NPI Number 1518034180
Provider Enumeration Date 2006-11-29
Last Updated Date 2009-06-11

Provider Mailing Address Detail

Address 1911 Cooks Hill Rd
City Centralia
State Washington (WA)
Post Code 985319073
Phone Number 3607366778
Fax Number 3607366552

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No AP30006273
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1058825 WA --
218107 WA JC PROVIDENCE HEALTH PLAN
2914LO WA DR LO REGENCE
9116SM WA DANA SMITH, ARNP REGENCE
1194SM WA DANA SMITH, ARNP REGENCE
2914CA WA JENNIFER CASERTA, MD REGE
2914SM WA DANA SMITH, ARNP REGENCE
2915CA WA JENNIFER CASERTA, MD REGE
8024LO WA DR LO REGENCE
9116CA WA JENNIFER CASETA, MD REGEN

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FAQs about N.W. Pediatric Center Inc Ps

What is the unique 10-digit identifier code issued to N.W. Pediatric Center Inc Ps by the Centers for Medicare & Medicaid Services?

The N.W. Pediatric Center Inc Ps has been assigned the NPI (National Provider Identifier) 1518034180 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where N.W. Pediatric Center Inc Ps's facilities are geographically located?

The facilities of N.W. Pediatric Center Inc Ps are physically situated at the following location: 1911 Cooks Hill Rd, Centralia, WA, 985319073.

What is N.W. Pediatric Center Inc Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for N.W. Pediatric Center Inc Ps is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.

On what date did the N.W. Pediatric Center Inc Ps receive the assignment of its 1518034180 from the Centers for Medicare & Medicaid Services?

The N.W. Pediatric Center Inc Ps was issued its 1518034180 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the N.W. Pediatric Center Inc Ps's information last updated?

The N.W. Pediatric Center Inc Ps's information was last updated on 2009-06-11.

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