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CEDAR CREST WHOLEHEALTHMEDICALCENTERPLLC
NPI 1225363351
Family Medicine in Winlock, WA

Active since October 07, 2009
100 CEDAR CREST DR, WINLOCK, WA 98596(360) 785-0300(360) 785-3330 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cedar Crest Wholehealthmedicalcenterpllc NPPES

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

CEDAR CREST WHOLEHEALTHMEDICALCENTERPLLC (NPI 1225363351) is a healthcare organization registered as a family medicine in Winlock, Washington and active in the NPI registry since October 2009. The organization lists Kim Leiann Teitzel, Billing Representative, as its authorized official.

NPPES Registry Identity

NPI1225363351
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEDAR CREST WHOLEHEALTHMEDICALCENTERPLLC
Location Address100 CEDAR CREST DRWinlock, WA 98596-9791
Mailing Address100 Cedar Crest DrWinlock, WA 98596-9791 · (360) 785-0300 · Fax (360) 785-3330
Phone(360) 785-0300
Fax(360) 785-3330
Organization SubpartNo
Authorized OfficialKim Leiann TeitzelBilling Representative · (360) 785-0300
Enumeration DateOctober 7, 2009
✔ NPI 1225363351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 0028509
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 CEDAR CREST DR, Winlock, WA 98596
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Other Identifiers 2

Medicare UPINA46189WA
Medicaid7117534WA

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

Other Providers at the Same Location NPPES 2

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

DIANE ELIZABETH MARINES DNP
Nurse Practitioner (Family)
100 CEDAR CREST DR
WINLOCK, WA 98596
Lewis County (360) 785-9400
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CEDAR CREST DR
WINLOCK, WA 98596
Lewis County (360) 785-9400

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 Cedar Crest Wholehealthmedicalcenterpllc's NPI number?

The NPI number for Cedar Crest Wholehealthmedicalcenterpllc is 1225363351. It was assigned to this organization in the NPPES registry on October 7, 2009.

Where is Cedar Crest Wholehealthmedicalcenterpllc located?

Cedar Crest Wholehealthmedicalcenterpllc is located at 100 Cedar Crest Dr, Winlock, WA 98596. The listed phone number is (360) 785-0300.

What is Cedar Crest Wholehealthmedicalcenterpllc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cedar Crest Wholehealthmedicalcenterpllc was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.