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BLACK HILLS FAMILY PRACTICE CLINIC PS
NPI 1467542399
Family Medicine in Mccleary, WA

Active since October 13, 2006
332 S BIRCH ST, MCCLEARY, WA 98557(360) 495-3475 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Hills Family Practice Clinic Ps NPPES

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

BLACK HILLS FAMILY PRACTICE CLINIC PS (NPI 1467542399) is a healthcare organization registered as a family medicine in Mccleary, Washington and active in the NPI registry since October 2006. The organization lists Edward R Macke, President, as its authorized official.

NPPES Registry Identity

NPI1467542399
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK HILLS FAMILY PRACTICE CLINIC PS
Location Address332 S BIRCH STMccleary, WA 98557-9522
Mailing AddressPo Box 68Mccleary, WA 98557-0068 · (360) 495-3475
Phone(360) 495-3475
Organization SubpartNo
Authorized OfficialEdward R MackePresident · (360) 495-3475
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 13, 2014
✔ NPI 1467542399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
332 S BIRCH ST, Mccleary, WA 98557
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Other Identifiers 11

Other1009515Community H
Other008NBlue Cross
Other15628Sli
Other95958Pacific Care
OtherA002Tricare
Medicaid1252402WA
Medicare PING000800077WA
Other8009961Aetna
OtherMA8267Regence
OtherQMXPR0055448Molina
Other75243Uniform

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
332 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 593-0343

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 Black Hills Family Practice Clinic Ps's NPI number?

The NPI number for Black Hills Family Practice Clinic Ps is 1467542399. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Black Hills Family Practice Clinic Ps located?

Black Hills Family Practice Clinic Ps is located at 332 S Birch St, Mccleary, WA 98557. The listed phone number is (360) 495-3475.

What is Black Hills Family Practice Clinic Ps'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 Black Hills Family Practice Clinic Ps was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.