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PRIME HEALTH CLINIC PLLC
NPI 1710306436
Pediatrics - Pediatric Gastroenterology in Puyallup, WA

Active since April 09, 2014
1004 E MAIN STE D, PUYALLUP, WA 98372(253) 268-0720(253) 466-7072 Get Directions Write a Review

NPPES record last updated: August 29, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 29, 2021, May 16, 2018, May 10, 2017 (3 updates tracked since 2017).

About Prime Health Clinic Pllc NPPES

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

PRIME HEALTH CLINIC PLLC (NPI 1710306436) is a healthcare organization registered as a pediatric gastroenterology in Puyallup, Washington and active in the NPI registry since April 2014. The organization maintains 3 additional practice locations and lists Abeer Adnan Alidlebi, General Manger, as its authorized official.

NPPES Registry Identity

NPI1710306436
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NamePRIME HEALTH CLINIC PLLC
Location Address1004 E MAIN STE DPuyallup, WA 98372-3199
Mailing Address1004 E Main Ste DPuyallup, WA 98372-3199 · (253) 268-0720 · Fax (253) 466-7072
Phone(253) 268-0720
Fax(253) 466-7072
Organization SubpartNo
Authorized OfficialAbeer Adnan AlidlebiGeneral Manger · (253) 740-0977
Enumeration DateApril 9, 2014
Last NPPES UpdateAugust 29, 20213 updates tracked since enumeration
NPPES CertifiedAugust 29, 2021
✔ NPI 1710306436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WA · 00035982
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 60306063 (WA)
1004 E MAIN STE D, Puyallup, WA 98372
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Secondary Practice Locations 3

Location 11907 Cooks Hill RdCentralia, WA 98531-9073 · Phone (253) 268-0720 ext. 4 · Fax (253) 466-7072
Location 25801 Soundview Dr Ste 156Gig Harbor, WA 98335-2215 · Phone (253) 268-0720 ext. 4 · Fax (253) 466-7072
Location 31802 Yakima Ave Ste 202Tacoma, WA 98405-5304 · Phone (253) 268-0720 ext. 4 · Fax (253) 466-7072

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 4

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

RANEEM ALKHATIB CD
Nutritionist
1004 E MAIN STE D
PUYALLUP, WA 98372
Pierce County (253) 740-0977
PEDIATRIC INFUSION SERVICES LLC
Clinic/Center (Infusion Therapy)
1004 E MAIN STE D
PUYALLUP, WA 98372
Pierce County (253) 202-3495
BISHER ABDULLAH MD
Pediatrics (Pediatric Gastroenterology)
1004 E MAIN STE D
PUYALLUP, WA 98372
Pierce County (253) 268-0720
VAIBHAVA LAXMI SAKILAM MBBS
Internal Medicine (Gastroenterology)
1004 E MAIN STE D
PUYALLUP, WA 98372
Pierce County (253) 268-0720

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 Prime Health Clinic PLLC's NPI number?

The NPI number for Prime Health Clinic PLLC is 1710306436. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Prime Health Clinic PLLC located?

Prime Health Clinic PLLC is located at 1004 E Main Ste D, Puyallup, WA 98372. The listed phone number is (253) 268-0720.

What is Prime Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

What insurance does Prime Health Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Prime Health Clinic PLLC 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 Prime Health Clinic PLLC was last updated on August 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.