South Sound Pediatrics Health Homes

LBN: South Sound Pediatrics, Pllc
South Sound Pediatrics Health Homes is an health care organization with primary practice located at 3516 12Th Ave Ne , Olympia WA 98506. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Sound Pediatrics, Pllc can be contacted via phone (360) 456-1600, or through Strandberg, Cndy A via phone (360) 918-0604.

Contact Information

Primary practice address
3516 12Th Ave Ne Olympia WA 98506
Phone: (360) 456-1600
Fax: (360) 456-6504
Website:
Map and Directions
Authorized official contact:
Name: Strandberg, Cndy A
Phone: (360) 918-0604

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 602083232 Washington

Profile Details

NPI number 1578001186
LBN Legal business name South Sound Pediatrics, Pllc
DBA Doing business as South Sound Pediatrics Health Homes
Authorized official Strandberg, Cndy A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2017
Last updated Feb 2nd, 2017 - about 9 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 1578001186 NPPES
Washington MEDICAID 1029486

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