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MARTHA AND MARY LUTHERAN SERVICES
NPI 1285977983
Internal Medicine - Geriatric Medicine in Poulsbo, WA

Active since April 01, 2013CLIA 50D0635392 · Waiver
19160 FRONT STREET NE, POULSBO, WA 98370(360) 779-7500 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha And Mary Lutheran Services NPPES

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

MARTHA AND MARY LUTHERAN SERVICES (NPI 1285977983) is a healthcare organization registered as a geriatric medicine in Poulsbo, Washington and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Chad Michael Solvie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285977983
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMARTHA AND MARY LUTHERAN SERVICES
Location Address19160 FRONT STREET NEPoulsbo, WA 98370-0127
Mailing AddressPo Box 127Poulsbo, WA 98370-0127
Phone(360) 779-7500
Organization SubpartNo
Authorized OfficialChad Michael SolvieCeo · (360) 779-7500
Enumeration DateApril 1, 2013
Last NPPES UpdateAugust 28, 2013
✔ NPI 1285977983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
19160 FRONT STREET NE, Poulsbo, WA 98370
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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

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 of Waiver 50D0635392

Martha And Mary Health Services · Poulsbo, WA
Active · expires Apr 4, 2028
CLIA Number50D0635392
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDan Red
Laboratory Phone(360) 779-7500
Laboratory LocationMartha And Mary Health Services19160 Front St NE, Poulsbo, WA 98370
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARTHA & MARY HOME AND COMMUNITY SERVICES
In Home Supportive Care
19160 FRONT STREET NE
POULSBO, WA 98370
Kitsap County (360) 779-7500

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 Martha And Mary Lutheran Services's NPI number?

The NPI number for Martha And Mary Lutheran Services is 1285977983. It was assigned to this organization in the NPPES registry on April 1, 2013.

Where is Martha And Mary Lutheran Services located?

Martha And Mary Lutheran Services is located at 19160 Front Street NE, Poulsbo, WA 98370. The listed phone number is (360) 779-7500.

What is Martha And Mary Lutheran Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Martha And Mary Lutheran Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0635392) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Martha And Mary Lutheran Services was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.