Organization Active NPI

Steven O Thomas MD

Doing business as Ehs First Care Liberty Lake

  • Non-Pharmacy Dispensing Site
  • Liberty Lake, WA
National Provider Identifier
1336360064
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD00015869 Issued in WA
Legal business name
STEVEN O THOMAS MD
Doing business as
Ehs First Care Liberty Lake
Practice address
2207 N Molter Rd
Liberty Lake, WA 99019-7570
Phone
(509) 473-5850
Fax
(509) 473-5500
NPI assigned
May 1, 2007
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Direndia Shackelford
Title
Managed Care Specialist
Phone
(800) 654-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD00015869 WA Primary

Addresses

Primary practice location

2207 N Molter Rd
Liberty Lake, WA 99019-7570

Mailing address

2207 N Molter Rd
Liberty Lake, WA 99019-7570
Phone (509) 473-5850

Other identifiers 2

IdentifierTypeStateIssuer
4932477OtherNCPDP PROVIDER IDENTIFICATION NUMBER
8114704MedicaidWA

Other names 1

  • EHS FIRST CARE LIBERTY LAKE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ehs Urgent Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2207 N Molter Rd
Liberty Lake, WA 99019
Phone (509) 473-5080

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1336360064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197570",
            "telephone_number": "509-473-5850",
            "fax_number": "509-473-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197570",
            "telephone_number": "509-473-5850",
            "fax_number": "509-473-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN O THOMAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "MD00015869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4932477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8114704",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHS FIRST CARE LIBERTY LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.