L A PROFESSIONAL SERVICE CORP.
NPI 1760551410
Family Medicine in Bremerton, WA

NPI Status: Active since November 07, 2006

Contact Information

804 CALLAHAN DR # A
BREMERTON, WA
ZIP 98310
Phone: (360) 377-9744
Fax: (360) 377-2341

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  • Organization
  • Family Medicine

About L A PROFESSIONAL SERVICE CORP.

This page provides the complete NPI Profile along with additional information for L A Professional Service Corp., a primary care provider established in Bremerton, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760551410 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 002495 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Terrilynn Nicklin Griswold (Billing Manager)

NPI
1760551410
Provider Name
L A PROFESSIONAL SERVICE CORP.
Entity Type
Organization
Location Address
804 CALLAHAN DR # A BREMERTON, WA 98310
Location Phone
(360) 377-9744
Location Fax
(360) 377-2341
Mailing Address
804 CALLAHAN DR # A BREMERTON, WA 98310
Mailing Phone
(360) 377-9744
Mailing Fax
(360) 377-2341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like L A Professional Service Corp. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
002495
License State
WA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRILYNN NICKLIN GRISWOLD

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(360) 434-3009

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0075138OTHER (01)WAL&I
1048636MEDICAID (05)WA 
AF1655OTHER (01)WAREGENCE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760551410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120105242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 5 + 2 + 4 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760551410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760551410, enumerated as an "organization" on November 07, 2006.

The provider is located at 804 CALLAHAN DR # A BREMERTON, WA 98310 and the phone number is (360) 377-9744.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.