KIRKPATRICK FAMILY CARE, PS (NPI# 1447286646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286646 |
| Entity Type | Organization |
| Organization Name | KIRKPATRICK FAMILY CARE, PS |
| Practice Address |
1706 Washington Way Longview WA 98632-2952 |
| Mailing Address |
Po Box 1338 Longview WA 98632-7785 |
| Practice Telephone | 3604230390 |
| Practice Fax Number | 3605773865 |
| Mailing Telephone | 3604230390 |
| Mailing Fax Number | 3605773865 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. STEVEN TROTTER (ADMINISTRATOR) |
| Authorized Official Telephone | 3604302911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6004675663 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7097447 | 05 |
| Street Address |
1706 WASHINGTON WAY |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217664 | David L Oliver | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2005-06-29 |
| 1750995577 | Kyle Rollin Wicks | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2020-08-31 |
| 1063069383 | Nicholas E Austin | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2019-08-21 |
| 1386151504 | Melanie Jean Hughes | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2018-01-09 |
| 1770095432 | Rachel M Roylance | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2017-11-02 |
| 1528584273 | Dara Madeline Newberry | Nurse Practitioner | 1706 Washington Way, Longview, WA 98632-2952 | 2017-08-15 |
| 1427593680 | Brooke Ashley Wethington | Physician Assistant | 1706 Washington Way, Longview, WA 98632 | 2016-12-27 |
| 1164830212 | Kendra D Mesa | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2014-07-31 |
| 1558771261 | Kirkpatrick Family Care | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2014-05-02 |
| 1801128715 | Matthew John Pyrch | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2010-02-02 |
| Find all providers in the same location | ||||
| 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 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 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 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
| 1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
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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.