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Contact Information

FRANCISCAN MEDICAL GROUP
1708 YAKIMA AVE
STE 202
TACOMA, WA98405-5307
 Phone: 253-426-6878
 Fax: 253-426-4254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FRANCISCAN MEDICAL GROUP

NPI Number 1629016936
LBN Legal business name FRANCISCAN MEDICAL GROUP
Authorized official CLIFF ROBERTSON - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/02/2006
Last updated 06/20/2008 - About 18 years ago
Identifiers
WA License # MD00023541
WA Medicaid 7117997
WA Other 8933554 STATE CRIME VICTIMS
WA Other 0177600 STATE L&I
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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