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MONTESANO INTERNAL MEDICINE, PS
NPI 1073683314
Internal Medicine in Montesano, WA

Active since November 08, 2006CLIA 50D0691211 · Microscopy
112 E BROADWAY AVE, MONTESANO, WA 98563(360) 249-4111(360) 249-5220 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montesano Internal Medicine, Ps NPPES

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

MONTESANO INTERNAL MEDICINE, PS (NPI 1073683314) is a healthcare organization registered as an internal medicine in Montesano, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Yong Ki Shin, President And Co-owner, as its authorized official.

NPPES Registry Identity

NPI1073683314
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMONTESANO INTERNAL MEDICINE, PS
Location Address112 E BROADWAY AVEMontesano, WA 98563-3704
Mailing Address112 E Broadway AveMontesano, WA 98563-3704 · (360) 249-4111 · Fax (360) 249-5220
Phone(360) 249-4111
Fax(360) 249-5220
Organization SubpartNo
Authorized OfficialYong Ki ShinPresident And Co-owner · (360) 249-4111
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1073683314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
112 E BROADWAY AVE, Montesano, WA 98563
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0691211

Montesano Internal Medicine Clinic · Montesano, WA
Active · expires Apr 4, 2028
CLIA Number50D0691211
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorYoung Ki Y. Shin
Laboratory Phone(360) 249-4111
Laboratory LocationMontesano Internal Medicine Clinic112 East Broadway, Montesano, WA 98563
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

KAREN LISA ARNDT ARNP
Nurse Practitioner (Family)
112 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-4111
CLARA CHON SHIN M.D.
Internal Medicine
112 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-4111
CAPITAL MEDICAL CENTER PHYSICIANS LLC
Internal Medicine
112 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-4111
YONG KI SHIN M.D.
Internal Medicine
112 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-4111

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 Montesano Internal Medicine, Ps's NPI number?

The NPI number for Montesano Internal Medicine, Ps is 1073683314. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Montesano Internal Medicine, Ps located?

Montesano Internal Medicine, Ps is located at 112 E Broadway Ave, Montesano, WA 98563. The listed phone number is (360) 249-4111.

What is Montesano Internal Medicine, Ps's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Montesano Internal Medicine, Ps hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0691211) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montesano Internal Medicine, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Montesano Internal Medicine, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montesano Internal Medicine, Ps was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.