Lake Stevens

LBN: Optum Care Washington Pllc
Lake Stevens is an health care organization with primary practice located at 8910 Vernon Road , Lake Stevens WA 98258. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Optum Care Washington Pllc can be contacted via phone (425) 335-0966, or through Go, George via phone (425) 259-0966.

Contact Information

Primary practice address
8910 Vernon Road Lake Stevens WA 98258
Phone: (425) 335-0966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Go, George Doctor of Medicine (MD)
Phone: (425) 259-0966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376695551
LBN Legal business name Optum Care Washington Pllc
DBA Doing business as Lake Stevens
Authorized official Go, George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2007
Last updated Apr 9th, 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 1376695551 NPPES
Washington Other 33000 L&I
Washington MEDICAID 7776503 L&I

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