PACIFIC NORTHWEST URGENT CARE LLC (NPI# 1215561998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215561998 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST URGENT CARE LLC |
| Other Organization Name | PACIFIC URGENT CARE |
| Practice Address |
900 Ocean Beach Hwy Ste 110 Longview WA 98632-4171 |
| Mailing Address |
6344 Se 87th Ave Portland OR 97266-5330 |
| Practice Telephone | 3606488860 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ALOYSIUS FOBI (SOLE OWNER) |
| Authorized Official Telephone | 5039532391 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Urgent Care | Doing Business As Name - Organization |
| Street Address |
900 OCEAN BEACH HWY STE 110 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| 1568853885 | Kaaren Lilly Marie Spanski-dreffin | Counselor | 1105 D 15th Ave, 186, Longview, WA 98632 | 2015-02-09 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747411 | Thuthi Enterprises, LLC | Clinic/Center | 715 N Park Ctr # B, Selah, WA 98942-1174 | 2020-07-14 |
| 1215567300 | Kittitas Valley Urgent Care Pllc | Clinic/Center | 17 E Valley Mall Blvd Ste 2b, Union Gap, WA 98903-1652 | 2020-01-17 |
| 1992288674 | American Current Care of Washington, P.s. | Clinic/Center | 6720 Fort Dent Way Ste 110, Tukwila, WA 98188-2580 | 2018-09-10 |
| 1548743347 | American Current Care of Washington, P.s. | Clinic/Center | 3101 111th St Sw Unit Tu, Everett, WA 98204-3590 | 2018-09-08 |
| 1881177681 | American Current Care of Washington, P.s. | Clinic/Center | 9222 N Newport Hwy Ste 1, Spokane, WA 99218-1235 | 2018-09-08 |
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1578926770 | Kittitas Valley Urgent Care Pllc | Clinic/Center | 5371 Number 6 Rd, Ellensburg, WA 98926-8782 | 2016-04-04 |
| 1548620693 | Highlands Urgent Care Pllc | Clinic/Center | 4500 Ne Sunset Blvd Ste D, Renton, WA 98059-4054 | 2016-03-02 |
| 1912305905 | Sunnyside Community Hospital Association | Clinic/Center | 355 Chardonnay Ave, Prosser, WA 99350-9521 | 2014-12-08 |
| 1316340516 | Aliance Community Health Service Network | Clinic/Center | 16005 Intl Blvd, A, Seatac, WA 98188-2651 | 2014-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.