N.w. Pediatric Center Inc Ps
Pediatrics
N.w. Pediatric Center Inc Ps is a Centralia, Washington based Pediatric center with medical specialization in
General Pediatrics. N.w. Pediatric Center Inc Ps is doing business as
Northwest Pediatric Center.
It is located at
1911 Cooks Hill Rd, Centralia, Washington - 98531-9073. They can be contacted on phone at
360-736-6778 and fax number 360-736-6552.
NPI number (Unique professional ID) for N.w. Pediatric Center Inc Ps is
1518034180 which was assigned by NPPES on 29 Nov, 2006 and it was last updated on 11 Jun, 2009.
N.w. Pediatric Center Inc Ps license number is
MD00029916 for Pediatrics (208000000X) in Washington.
N.w. Pediatric Center Inc Ps is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
N.w. Pediatric Center Inc Ps basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | N.w. Pediatric Center Inc Ps |
|---|
| Other Name : | Northwest Pediatric Center |
|---|
Business Address:
N.w. Pediatric Center Inc Ps address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1911 Cooks Hill Rd
Centralia, WA, 98531-9073
United States |
|---|
| Phone Number : | 360-736-6778 |
|---|
| Fax Number : | 360-736-6552 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518034180 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Nov, 2006 |
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| Last Updated On : | 11 Jun, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lisagail Mckay |
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| Official Title or Position : | PRACTICE MANAGER |
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| Phone Number : | 360-736-6778 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for N.w. Pediatric Center Inc Ps are as mentioned. Primary taxonomy code for N.w. Pediatric Center Inc Ps is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD00038226 | WA |
| 208000000X | Pediatrics | No | MD00028578 | WA |
| 208000000X | Pediatrics | No | MD00027525 | WA |
| 208000000X | Pediatrics | No | MD00032554 | WA |
| 208000000X | Pediatrics | No | MD00043677 | WA |
| 2084P0804X | Psychiatry & Neurology Child & Adolescent Psychiatry | No | MD00039351 | WA |
| 363LP0200X | Nurse Practitioner Pediatrics | No | AP30006273 | WA |
| 363LP0200X | Nurse Practitioner Pediatrics | No | AP30007039 | WA |
| 363LP0200X | Nurse Practitioner Pediatrics | No | AP60086265 | WA |
| 208000000X | Pediatrics | Yes | MD00029916 | WA |
Legacy Identifiers:
Other legacy medical identifiers of N.w. Pediatric Center Inc Ps such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 9116SM | Other | WA | DANA SMITH, ARNP REGENCE |
| 7057375 | MEDICAID | WA | |
| 1194SM | Other | WA | DANA SMITH, ARNP REGENCE |
| 1914LO | Other | WA | DR. LO REGENCE |
| 2915CA | Other | WA | JENNIFER CASERTA, MD REGE |
| 8398356 | MEDICAID | WA | |
| 2914LO | Other | WA | DR LO REGENCE |
| 9116CA | Other | WA | JENNIFER CASETA, MD REGEN |
| 8173882 | MEDICAID | WA | |
| 8251324 | MEDICAID | WA | |
| 8024LO | Other | WA | DR LO REGENCE |
| 1072958 | MEDICAID | WA | |
| 1058825 | MEDICAID | WA | |
| 212864 | Other | WA | DANA SMITH, ARNP PROVIDEN |
| 218107 | Other | WA | JC PROVIDENCE HEALTH PLAN |
| 230532008 | Other | WA | JC GROUP HEALTH |
| 2914CA | Other | WA | JENNIFER CASERTA, MD REGE |
| 2914SM | Other | WA | DANA SMITH, ARNP REGENCE |
| 8141947 | MEDICAID | WA | |
| 9636994 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1911 Cooks Hill Rd
Centralia, WA, 98531-9073
United States |
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| Phone Number : | 360-736-6778 |
|---|
| Fax Number : | 360-736-6552 |
|---|
Business Location:
Patients can refer following map for directions to
N.w. Pediatric Center Inc Ps practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.