West Olympia Family Medicine Inc, Pc

LBN: West Olympia Family Medicine Inc, Pc
West Olympia Family Medicine Inc, Pc is an health care organization with primary practice located at 402 Black Hills Ln Sw Ste B , Olympia WA 98502-8146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. West Olympia Family Medicine Inc, Pc can be contacted via phone (360) 754-4837, or through Wellock, Matthew T. via phone (360) 754-4837.

Contact Information

Primary practice address
402 Black Hills Ln Sw Ste B Olympia WA 98502-8146
Phone: (360) 754-4837
Fax: (360) 754-7304
Website:
Map and Directions
Authorized official contact:
Name: Wellock, Matthew T. Doctor of Medicine (MD)
Phone: (360) 754-4837

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00045733 Washington

Profile Details

NPI number 1225257363
LBN Legal business name West Olympia Family Medicine Inc, Pc
DBA Doing business as
Authorized official Wellock, Matthew T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Apr 20th, 2008 - about 18 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 1225257363 NPPES
Washington MEDICAID 1124098

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