LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE
NPI 1366247710
Clinic/Center - Primary Care in Napavine, WA

Active since February 18, 2025CLIA 50D2330206 · Waiver
375 A LINHART AVE NE, NAPAVINE, WA 98565(360) 880-4955 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lewis County Pediatrics And Family Medicine NPPES

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

LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE (NPI 1366247710) is a healthcare organization registered as a primary care in Napavine, Washington and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Chanel Marie Tangen Patana, Owner, as its authorized official.

NPPES Registry Identity

NPI1366247710
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE
Location Address375 A LINHART AVE NENapavine, WA 98565-9856
Mailing AddressPo Box 708Napavine, WA 98565-0708
Organization SubpartNo
Authorized OfficialChanel Marie Tangen PatanaOwner · (360) 880-4955
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1366247710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
375 A LINHART AVE NE, Napavine, WA 98565

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 50D2330206

Lewis County Pediatrics And Family Medicine PLLC · Napavine, WA
Active · expires Apr 4, 2028
CLIA Number50D2330206
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChanel Patana
Laboratory Phone(360) 880-4955
Laboratory LocationLewis County Pediatrics And Family Medicine PLLC375A Linhart Ave NE, Napavine, WA 98565
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lewis County Pediatrics And Family Medicine's NPI number?

The NPI number for Lewis County Pediatrics And Family Medicine is 1366247710. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Lewis County Pediatrics And Family Medicine located?

Lewis County Pediatrics And Family Medicine is located at 375 A Linhart Ave NE, Napavine, WA 98565. The listed phone number is (360) 880-4955.

What is Lewis County Pediatrics And Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lewis County Pediatrics And Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2330206) 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 Lewis County Pediatrics And Family Medicine was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.