NORTH CENTRAL WASHINGTON HEALTH LLC


Address: 22 West Highway 28, Soap Lake, WA 98851
Phone: 5098889606

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
PA10004217 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA UPIN Q59925 01
WA 8418451 05

Other Provider/Organization Names

Other Name Type Code
Mansfield Family Medicine Doing Business As Name - Organization

Office Location

Street Address 22 WEST HIGHWAY 28
City SOAP LAKE
State WA
Zip Code 98851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730148958 Eldon Lester Leinweber Physician Assistant 22 West Highway 28, Soap Lake, WA 98851 2006-03-17

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1578183729 Family Care Network Pllc Clinic/Center 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 2020-04-17
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
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Competitor

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City SOAP LAKE
Zip Code 98851

Improve Information

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Dataset Information

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.

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