PRIMARY CARE CLINIC, INC


Address: 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390
Phone: 2067212349

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).

Provider Overview

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

Taxonomy

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

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PRIMARY CARE CLINIC, INC 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390

Office Location

Street Address 4203 RAINIER AVE S
SUITE C
City SEATTLE
State WA
Zip Code 98118-1390

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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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
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1144589680 Grace Grymes Chapman Pllc Clinic/Center 5400 California Ave Sw Ste F, Seattle, WA 98136-1501 2012-05-03
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1902989577 West Seattle Community Clinic Pllc Clinic/Center 9001 35th Ave Sw, Seattle, WA 98126-4801 2006-10-24
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Competitor

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City SEATTLE
Zip Code 98118

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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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