Optum - Ballard

LBN: The Polyclinic Pllc
Optum - Ballard is an health care organization with primary practice located at 1448 Nw Market St Ste 200 , Seattle WA 98107-3743. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. The Polyclinic Pllc can be contacted via phone (206) 329-1760, or through Pepin, Craig via phone (206) 860-5414.

Contact Information

Primary practice address
1448 Nw Market St Ste 200 Seattle WA 98107-3743
Phone: (206) 329-1760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pepin, Craig
Phone: (206) 860-5414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1821478686
LBN Legal business name The Polyclinic Pllc
DBA Doing business as Optum - Ballard
Authorized official Pepin, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2015
Last updated May 24th, 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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