PENINSULA SPINE INSTITUTE, PS


Address: 804 Callahan Dr Ste A, Bremerton, WA 98310-3307
Phone: 3605152555

PENINSULA SPINE INSTITUTE, PS (NPI# 1275052458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275052458
Entity Type Organization
Organization Name PENINSULA SPINE INSTITUTE, PS
Practice Address 804 Callahan Dr Ste A
Bremerton
WA 98310-3307
Mailing Address 2503 Cliffside Ln Nw Apt V201
Gig Harbor
WA 98335-6885
Practice Telephone 3605152555
Practice Fax Number 2068929652
Mailing Telephone 3605152555
Mailing Fax Number 2068929652
Enumeration Date 2017-09-19
Last Update Date 2017-09-19
Authorized Official Name DR. DENNIS JAMES GEYER (PRESIDENT)
Authorized Official Telephone 3605152555
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
MD00048961 WA Ambulatory Health Care Facilities

Office Location

Street Address 804 CALLAHAN DR STE A
City BREMERTON
State WA
Zip Code 98310-3307

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City BREMERTON
Zip Code 98310

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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