Richland Family Medicine PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD17852 Issued in WA

Legal business name

RICHLAND FAMILY MEDICINE PS

Practice address

1215 George Washington Way
Suite #1
Richland, WA 99352-3442

Phone

(509) 946-9664

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie L Osborne

Title

Office Manager

Phone

(509) 946-9664

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randelle K Fuller, MPT

  • Physical Therapist
  • Kennewick, WA
  • NPI 1023237120
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1063509446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON WAY",
            "address_2": "SUITE #1",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523442",
            "telephone_number": "509-946-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON WAY",
            "address_2": "SUITE #1",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523442",
            "telephone_number": "509-946-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND FAMILY MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-946-9664"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD17852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7199904",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "65129",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080069900",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF L&I",
            "identifier": "17383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Richardson, DO
• Richland Alf Ventures, LLC
• Richland Community Healthcare LLC
• Richland Dental Center, PLLC
• Richland Family Chiropractic PS
• Richland Medical Investors, LLC
• Richland Primary Care Clinic, PLLC
• Richland School District
• Richland SNF Healthcare LLC
• Richland Speciality Care LLC Quail Hollow Memory Care Community

• Family Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.