NORTH CENTRAL WASHINGTON HEALTH LLC (NPI# 1790021822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790021822 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL WASHINGTON HEALTH LLC |
Other Organization Name | MANSFIELD FAMILY MEDICINE |
Practice Address |
22 West Highway 28 Soap Lake WA 98851 |
Mailing Address |
Po Box 1050 Soap Lake WA 98851-1050 |
Practice Telephone | 5098889606 |
Practice Fax Number | 5092468001 |
Mailing Telephone | 5098889606 |
Mailing Fax Number | 5092468001 |
Enumeration Date | 2012-12-18 |
Last Update Date | 2016-05-24 |
Authorized Official Name | MR. ELDON LESTER LEINWEBER (CEO, MANAGER) |
Authorized Official Telephone | 5098817503 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
PA10004217 | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | UPIN | Q59925 | 01 |
WA | 8418451 | 05 |
Other Name | Type Code |
---|---|
Mansfield Family Medicine | Doing Business As Name - Organization |
Street Address |
22 WEST HIGHWAY 28 |
City | SOAP LAKE |
State | WA |
Zip Code | 98851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730148958 | Eldon Lester Leinweber | Physician Assistant | 22 West Highway 28, Soap Lake, WA 98851 | 2006-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316398860 | Kandice Krause | Massage Therapist | 318 4th Ave Se, Soap Lake, WA 98851 | 2016-06-27 |
1861721201 | Alissa Rose Herbst | Massage Therapist | 318 E Main Ave, Soap Lake, WA 98851 | 2009-12-14 |
1174646772 | Don Johnstad | Massage Therapist | 318 Main Ave, Soap Lake, WA 98851 | 2007-04-09 |
1750404364 | Kathi Trantham | Massage Therapist | 318 Main Ave E, Soap Lake, WA 98851 | 2007-04-09 |
1295859130 | Mary Ann Miller | Massage Therapist | 318 Main Avenue East, Soap Lake, WA 98851 | 2007-03-17 |
1780774521 | Soap Lake School District | Local Education Agency (LEA) | 410 Gingko Street South, Soap Lake, WA 98851 | 2006-10-13 |
1740205988 | Public Hospital District #4 of Grant County | Skilled Nursing Facility | 127 2nd Ave. Sw, Soap Lake, WA 98851 | 2006-07-12 |
1356701338 | Laura Savage | Massage Therapist | 226 Main Ave East, Soap Lake, WA 98851-0045 | 2016-03-03 |
1740444892 | Jesse D Hannaford | Massage Therapist | 318 Main Avenue East, Soap Lake, WA 98851-0318 | 2008-07-17 |
1023223799 | Paul Armen Odian | Massage Therapist | 318 Main Ave, Soap Lake, WA 98851-0381 | 2007-05-14 |
Find all providers in zip 98851 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
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.