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WHITE RIVER FAMILY CARE LLC
NPI 1649394800
Family Medicine in Buckley, WA

Active since March 16, 2007CLIA 50D0635041 · Waiver
305 N.RIVER AVE., BUCKLEY, WA 98321(360) 829-0625(360) 829-9860 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White River Family Care Llc NPPES

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

WHITE RIVER FAMILY CARE LLC (NPI 1649394800) is a healthcare organization registered as a family medicine in Buckley, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cindy Jane Kruizenga, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649394800
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWHITE RIVER FAMILY CARE LLC
Location Address305 N.RIVER AVE.Buckley, WA 98321
Mailing AddressPo Box 1268Buckley, WA 98321 · (360) 829-0625 · Fax (360) 829-9860
Phone(360) 829-0625
Fax(360) 829-9860
Organization SubpartNo
Authorized OfficialCindy Jane KruizengaOffice Manager · (360) 829-0625
Enumeration DateMarch 16, 2007
Last NPPES UpdateOctober 4, 2018
✔ NPI 1649394800 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.
305 N.RIVER AVE., Buckley, WA 98321
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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0635041

White River Family Care · Buckley, WA
Active · expires Apr 4, 2028
CLIA Number50D0635041
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael A. Welsh
Laboratory Phone(360) 829-0625
Laboratory LocationWhite River Family Care305 N River, Buckley, WA 98321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 White River Family Care LLC's NPI number?

The NPI number for White River Family Care LLC is 1649394800. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is White River Family Care LLC located?

White River Family Care LLC is located at 305 N.River Ave., Buckley, WA 98321. The listed phone number is (360) 829-0625.

What is White River Family Care LLC's specialty?

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

Does White River Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0635041) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does White River Family Care LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list White River Family Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White River Family Care LLC was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.