HEARTHSTONE DERMATOLOGY NONPROFIT PROFESSIONAL SERVICES
NPI 1477169753
Voluntary or Charitable in Mccleary, WA

Active since September 22, 2020
828 MOX CHEHALIS RD, MCCLEARY, WA 98557(360) 470-0671(360) 464-2617 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hearthstone Dermatology Nonprofit Professional Services NPPES

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

HEARTHSTONE DERMATOLOGY NONPROFIT PROFESSIONAL SERVICES (NPI 1477169753) is a healthcare organization registered as a voluntary or charitable in Mccleary, Washington and active in the NPI registry since September 2020. The organization lists Geneva Tzenov, Ceo-administrator, as its authorized official.

NPPES Registry Identity

NPI1477169753
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameHEARTHSTONE DERMATOLOGY NONPROFIT PROFESSIONAL SERVICES
Location Address828 MOX CHEHALIS RDMccleary, WA 98557-9408
Mailing Address828 Mox Chehalis RdMccleary, WA 98557-9408 · (360) 470-0671 · Fax (360) 464-2617
Fax(360) 464-2617
Organization SubpartNo
Authorized OfficialGeneva TzenovCeo-administrator · (360) 470-0671
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1477169753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
828 MOX CHEHALIS RD, Mccleary, WA 98557

Other Identifiers 1

Medicaid2012498WA

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
828 MOX CHEHALIS RD
MCCLEARY, WA 98557

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 Hearthstone Dermatology Nonprofit Professional Services's NPI number?

The NPI number for Hearthstone Dermatology Nonprofit Professional Services is 1477169753. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Hearthstone Dermatology Nonprofit Professional Services located?

Hearthstone Dermatology Nonprofit Professional Services is located at 828 Mox Chehalis Rd, Mccleary, WA 98557. The listed phone number is (360) 470-0671.

What is Hearthstone Dermatology Nonprofit Professional Services's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Hearthstone Dermatology Nonprofit Professional Services was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.