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Contact Information

NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC
1901 S CEDAR ST STE 103
TACOMA, WA98405-2302
 Phone: 253-272-1812
 Fax: 253-682-1455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC

NPI Number 1730240599
LBN Legal business name NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC
Authorized official DONALD TRIPPEL - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 07/08/2008 - About 18 years ago
Identifiers
WA Medicaid 7099799
WA Other 463414001 GROUP HEALTH
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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