FERN LANE COMPANY, LLC (NPI# 1497255293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497255293 |
| Entity Type | Organization |
| Organization Name | FERN LANE COMPANY, LLC |
| Other Organization Name | THRIVE DIRECT HEALTH CARE |
| Practice Address |
708 E Morris St Suite B La Conner WA 98257 |
| Mailing Address |
Po Box 2104 La Conner WA 98257-2104 |
| Practice Telephone | 3606305141 |
| Practice Fax Number | 8663027491 |
| Mailing Telephone | 3606305141 |
| Mailing Fax Number | 8663027491 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DR. BRIANNA WILSON (OWNER) |
| Authorized Official Telephone | 3609415519 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Thrive Direct Health Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FERN LANE COMPANY, LLC | 10334 Fern Lane, La Conner, WA 98257 |
| Street Address |
708 E MORRIS ST SUITE B |
| City | LA CONNER |
| State | WA |
| Zip Code | 98257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668451 | La Conner Drug Store | Pharmacy | 708 E Morris St, La Conner, WA 98257-0477 | 2005-09-07 |
| 1083047369 | Brianna Jean Wilson | Nurse Practitioner | 708 E Morris St, Ste B, La Conner, WA 98257-9825 | 2013-08-09 |
| 1265454292 | Soas LLC | Pharmacy | 708 E Morris St, La Conner, WA 98257 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088144 | Rsl La Conner, LLC | Assisted Living Facility | 204 N. 1st St, La Conner, WA 98257 | 2020-06-19 |
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1205302262 | Thanh Nguyen | Pharmacist | 708 E. Morris St, La Conner, WA 98257 | 2018-10-17 |
| 1023590197 | Melissa Danielle Adair | Nurse Practitioner | 708 Morris Street, Suite B, La Conner, WA 98257 | 2018-09-05 |
| 1013363886 | Steven Bruce Gooding | Counselor | 17400 Reservation Rd., La Conner, WA 98257 | 2016-05-10 |
| 1639550643 | Skagit County Fire District 13 | Ambulance | 17433 Snee-oosh Rd, La Conner, WA 98257 | 2015-06-16 |
| 1679909360 | Nina Marie Wawrzyniec | Chiropractor | 125 Washington Street, Laconner, WA 98257 | 2013-09-25 |
| 1669805180 | Reidun E Pederson | Registered Nurse | 403 State St., La Conner, WA 98257 | 2013-08-20 |
| 1326390527 | Susan Jane Erickson | Speech-Language Pathologist | 305 N. 6th, La Conner, WA 98257 | 2012-10-11 |
| 1528331469 | Charles Evert Larsson | Family Medicine | 528 Myrtle Avenue, La Conner, WA 98257 | 2012-02-22 |
| Find all providers in zip 98257 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720356876 | La Conner Health and Wellness LLC | Clinic/Center | 413 Morris St., La Conner, WA 98257 | 2011-12-05 |
| 1376734111 | Swinomish Indian Tribal Community | Clinic/Center | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-08-07 |
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| 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.