Lake Hills Medical Assoc

LBN: Lake Hills Medical Assoc
Lake Hills Medical Assoc is an health care organization with primary practice located at 14858 Lake Hills Blvd , Bellevue WA 98007-5821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Hills Medical Assoc can be contacted via phone (208) 816-1332, or through Larson, Amy L via phone (208) 798-8968.

Contact Information

Primary practice address
14858 Lake Hills Blvd Bellevue WA 98007-5821
Fax:
Website:
Authorized official contact:
Name: Larson, Amy L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00015580 Washington

Profile Details

NPI number 1740260892
LBN Legal business name Lake Hills Medical Assoc
DBA Doing business as
Authorized official Larson, Amy L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 7th, 2011 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740260892 NPPES
Washington MEDICAID 7081771

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