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BONNEY LAKE MEDICAL CENTER
NPI 1700056587
Specialist in Bonney Lake, WA

Active since March 07, 2008
20631 HWY 410 E., STE 303, BONNEY LAKE, WA 98390(253) 891-2160(253) 891-2171 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonney Lake Medical Center NPPES

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

BONNEY LAKE MEDICAL CENTER (NPI 1700056587) is a healthcare organization registered as a specialist in Bonney Lake, Washington and active in the NPI registry since March 2008. The organization lists Mythili R Arigala, Owner, as its authorized official.

NPPES Registry Identity

NPI1700056587
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBONNEY LAKE MEDICAL CENTER
Location Address20631 HWY 410 E., STE 303Bonney Lake, WA 98390-6390
Mailing Address20631 Hwy 410 E., Ste 303Bonney Lake, WA 98390-6390 · (253) 891-2160 · Fax (253) 891-2171
Phone(253) 891-2160
Fax(253) 891-2171
Organization SubpartNo
Authorized OfficialMythili R ArigalaOwner · (253) 891-2160
Enumeration DateMarch 7, 2008
✔ NPI 1700056587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00036489
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20631 HWY 410 E., Bonney Lake, WA 98390
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Other Identifiers 3

Medicare UPING93639WA
Medicaid1117456WA
Medicare PINAB33123WA

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

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 Bonney Lake Medical Center's NPI number?

The NPI number for Bonney Lake Medical Center is 1700056587. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Bonney Lake Medical Center located?

Bonney Lake Medical Center is located at 20631 Hwy 410 E. Ste 303, Bonney Lake, WA 98390. The listed phone number is (253) 891-2160.

What is Bonney Lake Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bonney Lake Medical Center was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.