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RANIER BEACH MEDICAL CLINIC
NPI 1053417675
Clinic/Center in Seattle, WA

Active since September 15, 2006
5023 S BARTON PLACE, SEATTLE, WA 98118(206) 725-8043(206) 760-1359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ranier Beach Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANIER BEACH MEDICAL CLINIC (NPI 1053417675) is a healthcare organization registered as a clinic/center in Seattle, Washington and active in the NPI registry since September 2006. The organization lists Prudencio Galvez Tible, President, as its authorized official.

NPPES Registry Identity

NPI1053417675
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRUDENCIO G TIBLE MD PC
Location Address5023 S BARTON PLACESeattle, WA 98118
Mailing AddressPo Box 18936Seattle, WA 98118 · (206) 725-8043 · Fax (206) 760-1359
Phone(206) 725-8043
Fax(206) 760-1359
Organization SubpartNo
Authorized OfficialPrudencio Galvez TiblePresident · (206) 725-8043
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053417675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5023 S BARTON PLACE, Seattle, WA 98118
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Other Names 1

Doing Business AsRanier Beach Medical Clinic

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRUDENCIO GALVEZ TIBLE MD
General Practice
5023 S BARTON PLACE
SEATTLE, WA 98118
King County (206) 725-8043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudencio G Tible MD PC's NPI number?

The NPI number for Prudencio G Tible MD PC is 1053417675. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Ranier Beach Medical Clinic.

Where is Prudencio G Tible MD PC located?

Prudencio G Tible MD PC is located at 5023 S Barton Place, Seattle, WA 98118. The listed phone number is (206) 725-8043.

What is Prudencio G Tible MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Prudencio G Tible MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.