Organization Active NPI

Family Medical Care Clinic LLC

  • Primary Care Clinic/Center
  • Olympia, WA
National Provider Identifier
1225536923
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY MEDICAL CARE CLINIC LLC
Practice address
3425 Ensign Rd NE Ste 320
Olympia, WA 98506-5068
Phone
(360) 528-8190
NPI assigned
Jan 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Cassie Rouse
Title
Manager
Phone
(360) 528-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3425 Ensign Rd NE Ste 320
Olympia, WA 98506-5068

Mailing address

3425 Ensign Rd NE Ste 320
Olympia, WA 98506-5068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326001381 WA Part B Supplier - Clinic/Group Practice 5698037943 Receives reassigned benefits from 2 practitioners
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

3425 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4015

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16387/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1225536923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE STE 320",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE STE 320",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065068",
            "telephone_number": "360-528-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-528-8190"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.