1033419221 NPI number — HOPE FAMILY MEDICAL CLINIC, PLLC

Table of content: (NPI 1033419221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033419221 NPI number — HOPE FAMILY MEDICAL CLINIC, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE FAMILY MEDICAL CLINIC, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033419221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7614 195TH ST SW
Provider Second Line Business Mailing Address:
STE 203
Provider Business Mailing Address City Name:
EDMONDS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98026-6260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-744-0709
Provider Business Mailing Address Fax Number:
425-771-1470

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7614 195TH ST SW
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
EDMONDS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98026-6260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-744-0709
Provider Business Practice Location Address Fax Number:
425-771-1470
Provider Enumeration Date:
10/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
JOHANN
Authorized Official First Name:
MARY
Authorized Official Middle Name:
ELSBETH
Authorized Official Title or Position:
FAMILY NURSE PRACTITIONER, BC
Authorized Official Telephone Number:
425-876-2006

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  UBI 603 043 924 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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