NPIMap

Organization Active NPI

Washington Park Medical Center, Inc PS

  • Family Medicine Physician
  • Centralia, WA
National Provider Identifier
1093729329
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WASHINGTON PARK MEDICAL CENTER, INC PS
Practice address
208 Centralia College Blvd
Centralia, WA 98531-4007
Phone
(360) 736-0771
Fax
(360) 736-4867
NPI assigned
Jul 29, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Paul D Williams, MDNPI 1184630089
Title
Physician
Phone
(360) 736-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

208 Centralia College Blvd
Centralia, WA 98531-4007

Mailing address

PO Box 239
Centralia, WA 98531-0239
Phone (360) 736-0771

National Provider Directory

National Provider Directory

Locations

208 Centralia College Blvd
Centralia, WA 98531
Phone (360) 736-0771

208 Locust St W
Centralia, WA 98531

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1093729329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310239",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CENTRALIA COLLEGE BLVD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314007",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PARK MEDICAL CENTER, INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-736-0771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.