PRIMARY CARE CLINIC, INC (NPI# 1780985333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985333 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE CLINIC, INC |
| Practice Address |
4203 Rainier Ave S Suite C Seattle WA 98118-1390 |
| Practice Telephone | 2067212349 |
| Practice Fax Number | 2067234321 |
| Mailing Telephone | 2067212349 |
| Mailing Fax Number | 2067234321 |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2010-11-14 |
| Authorized Official Name | DR. KY VAN TRAN (PRESIDENT) |
| Authorized Official Telephone | 2067212349 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
252-09 MD0023508 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PRIMARY CARE CLINIC, INC | 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390 |
| Street Address |
4203 RAINIER AVE S SUITE C |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
| 1750790010 | Vera Whole Health Wa PC | Clinic/Center | 500 5th Ave North, Seattle, WA 98109 | 2014-08-11 |
| 1235577958 | Vera Whole Health Wa PC | Clinic/Center | 605 5th Ave S #150, Seattle, WA 98104-3886 | 2013-06-05 |
| 1326385451 | Hopecentral | Clinic/Center | 3826 S Othello St, Seattle, WA 98118-3562 | 2013-01-09 |
| 1619224698 | Tiger Health Clinic | Clinic/Center | 11680 Renton Ave S, Seattle, WA 98178-3044 | 2012-08-09 |
| 1144589680 | Grace Grymes Chapman Pllc | Clinic/Center | 5400 California Ave Sw Ste F, Seattle, WA 98136-1501 | 2012-05-03 |
| 1316099724 | Holistic Health West | Clinic/Center | 4744 41st Ave Sw Ste 102, Seattle, WA 98116-4566 | 2007-01-17 |
| 1902989577 | West Seattle Community Clinic Pllc | Clinic/Center | 9001 35th Ave Sw, Seattle, WA 98126-4801 | 2006-10-24 |
| 1336254051 | Southgate Medical Clinic, P.s. | Clinic/Center | 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118-3179 | 2006-08-20 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on PRIMARY CARE CLINIC, INC.
| 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.