NOOKSACK COMMUNITY CLINIC - NPI 1568528842 - Family Medicine in Everson, WA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Nooksack Community Clinic NPPES

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

NOOKSACK COMMUNITY CLINIC (NPI 1568528842) is a healthcare organization registered as a family medicine in Everson, Washington and active in the NPI registry since December 2006. The organization lists John Duncan, Nit Controller, as its authorized official.

NPPES Registry Identity

NPI1568528842

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOOKSACK CENTRAL MANAGEMENT SYSTEM

Location Address6760 MISSION RDEverson, WA 98247-9749

Mailing AddressPo Box 157Deming, WA 98244-0157 · (360) 966-2106 · Fax (360) 966-7227

Phone(360) 966-2106

Fax(360) 966-7227

Organization SubpartNo

Authorized OfficialJohn DuncanNit Controller · (360) 296-2315

Enumeration DateDecember 29, 2006

Last NPPES UpdateMarch 2, 2009

✔ NPI 1568528842 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.

6760 MISSION RD, Everson, WA 98247

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Other Names 1

Other NameNooksack Community Clinic

Other Identifiers 4

Medicare UPING75351WA

Other0170843WA · Labor & Industries

Medicaid7084346WA

Medicare PINTRZ002WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 10

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

MS. KATHLEEN ANNETTE PUDERBAUGH ARNP

Nurse Practitioner (Women's Health)