<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
Fax: (425) 493-6035
Website:
Authorized official contact:
Name: Go, George Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114097292 NPPES
Washington MEDICAID 6008841
Washington Other 4920460

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