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4TH STREET MEDICAL CARE PLLC
NPI 1659559409
Clinic/Center - Primary Care in Marysville, WA

Active since February 04, 2008
1602 4TH ST, MARYSVILLE, WA 98270(360) 659-4141(360) 659-1712 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About 4th Street Medical Care Pllc NPPES

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

4TH STREET MEDICAL CARE PLLC (NPI 1659559409) is a healthcare organization registered as a primary care in Marysville, Washington and active in the NPI registry since February 2008. The organization lists Santosa Ho, Owner, as its authorized official.

NPPES Registry Identity

NPI1659559409
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business Name4TH STREET MEDICAL CARE PLLC
Location Address1602 4TH STMarysville, WA 98270-5014
Mailing Address1602 4th StMarysville, WA 98270-5014 · (360) 659-4141 · Fax (360) 659-1712
Phone(360) 659-4141
Fax(360) 659-1712
Organization SubpartNo
Authorized OfficialSantosa HoOwner · (360) 659-4141
Enumeration DateFebruary 4, 2008
Last NPPES UpdateDecember 8, 2014
✔ NPI 1659559409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · 602329907
1602 4TH ST, Marysville, WA 98270
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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 4th Street Medical Care PLLC's NPI number?

The NPI number for 4th Street Medical Care PLLC is 1659559409. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is 4th Street Medical Care PLLC located?

4th Street Medical Care PLLC is located at 1602 4th St, Marysville, WA 98270. The listed phone number is (360) 659-4141.

What is 4th Street Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for 4th Street Medical Care PLLC was last updated on December 8, 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.