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SAND MEDICAL CLINIC
NPI 1407687965
Clinic/Center - Primary Care in Bonney Lake, WA

Active since August 08, 2024
7720 190TH AVE E, BONNEY LAKE, WA 98391(253) 374-5183 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sand Medical Clinic NPPES

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

SAND MEDICAL CLINIC (NPI 1407687965) is a healthcare organization registered as a primary care in Bonney Lake, Washington and active in the NPI registry since August 2024. The organization lists Samwel Mbua, Governor, as its authorized official.

NPPES Registry Identity

NPI1407687965
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAND MEDICAL CLINIC
Location Address7720 190TH AVE EBonney Lake, WA 98391-7010
Mailing Address7720 190th Ave EBonney Lake, WA 98391-7010 · (253) 374-5183
Phone(253) 374-5183
Organization SubpartNo
Authorized OfficialSamwel MbuaGovernor · (206) 356-0906
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1407687965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
7720 190TH AVE E, Bonney Lake, WA 98391
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Other Providers at the Same Location NPPES

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

PRESTIGE MENTAL HEALTH
Nurse Practitioner
7720 190TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 293-0683

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 Sand Medical Clinic's NPI number?

The NPI number for Sand Medical Clinic is 1407687965. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Sand Medical Clinic located?

Sand Medical Clinic is located at 7720 190th Ave E, Bonney Lake, WA 98391. The listed phone number is (253) 374-5183.

What is Sand Medical Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Sand Medical Clinic was last updated on August 8, 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.