SPANAWAY GENERAL MEDICAL CLINIC; NPI #1770514937

Contact Information

SPANAWAY GENERAL MEDICAL CLINIC

15005 PACIFIC AVE
SPANAWAY GENERAL MEDICAL CLINIC
TACOMA, WA 98444

Phone: 253-537-3724
Fax: 253-537-6425
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for SPANAWAY GENERAL MEDICAL CLINIC

NPI Number 1770514937

LBN Legal business name SPANAWAY GENERAL MEDICAL CLINIC

Authorized official ANDREW TSOI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/06/2006

Last updated 10/25/2010 - About 16 years ago

Identifiers

Medicaid

7174006

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SPANAWAY GENERAL MEDICAL CLINIC

Contact Information

Specialty

General Practice

NPI Profile & details for SPANAWAY GENERAL MEDICAL CLINIC

Reviews for SPANAWAY GENERAL MEDICAL CLINIC