<Unavail>
LBN: Optum Care Washington Pllc
<Unavail> is an health care organization with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Optum Care Washington Pllc can be contacted via phone (425) 493-6005, or through Go, George via phone (425) 258-3900.
Contact Information
Primary practice address
4410 106Th St Sw
Mukilteo WA 98275-4700
Phone: (425) 493-6005
Fax: (425) 493-6035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | CF00056689 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1114097292 |
|---|---|
| LBN Legal business name | Optum Care Washington Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Go, George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114097292 | NPPES |
| Washington | MEDICAID | 6008841 | |
| Washington | Other | 4920460 |
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