CAPITAL MEDICAL CENTER PHYSICIANS LLC
NPI 1649037623
Family Medicine in Lacey, WA

Q: What is Capital Medical Center Physicians LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 05, 2024

5130 CORPORATE CENTER CT SE, LACEY, WA 98503(360) 413-8600(360) 413-8822 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Mar 5, 2024 (2 updates tracked since 2024).

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About Capital Medical Center Physicians Llc NPPES

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

CAPITAL MEDICAL CENTER PHYSICIANS LLC (NPI 1649037623), doing business as Pioneer Family Practice By Multicare, is a healthcare organization registered as a family medicine in Lacey, Washington and active in the NPI registry since March 2024. The organization lists William Glenn Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649037623

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCAPITAL MEDICAL CENTER PHYSICIANS LLC

Location Address5130 CORPORATE CENTER CT SELacey, WA 98503-5957

Mailing AddressP.o. Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299

Phone(360) 413-8600

Fax(360) 413-8822

Organization SubpartNo

Authorized OfficialWilliam Glenn RobertsonCeo · (253) 403-1272

Enumeration DateMarch 5, 2024

Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1649037623 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.

5130 CORPORATE CENTER CT SE, Lacey, WA 98503

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Other Names 1

Doing Business AsPioneer Family Practice By Multicare

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

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 11

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

DR. DIRK FRANCIS HAVLAK MD

Family Medicine