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Contact Information

LONGVIEW FOOT & ANKLE CLINIC
783 COMMERCE AVE
SUITE 120
LONGVIEW, WA98632
 Phone: 360-575-9161
 Fax: 360-575-9306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LONGVIEW FOOT & ANKLE CLINIC

NPI # 1316032451
LBN Legal business name LONGVIEW FOOT & ANKLE CLINIC
Authorized official RAY MCCLANAHAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 03/26/2008 - About 18 years ago
Identifiers
OR License # DP00317
WA License # PO00000596
WA Medicaid 1101682
WA Other 8397218 DMERC DSHS
WA Other 129510 L&I
WA Other MC5942 REGENCE RIDER
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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