Pro Care Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP60118940 Issued in WA

Legal business name

PRO CARE MEDICAL GROUP

Doing business as

Health Med Centers

Practice address

205 Stewart Rd
Suite 104
Mount Vernon, WA 98273-9607

Phone

(360) 416-3322

Fax

(360) 707-7103

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eliana Echevarria

Title

Medical Director

Phone

(360) 416-3322

Specialties & licenses 1

Addresses

Other names 1

• HEALTH MED CENTERS Doing business as

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1336531888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STEWART RD",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739607",
            "telephone_number": "360-416-3322",
            "fax_number": "360-707-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEWART RD",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739607",
            "telephone_number": "360-416-3322",
            "fax_number": "360-707-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "ELIANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-416-3322",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP60118940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH MED CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward G Prevatt, M.D.
• Dana Rae Priest, COTA
• Barbara H Pringle, MD
• Robert W Pringle, MD
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• Family Medicine Physician in Mount Vernon, WA
• Providers in Mount Vernon, 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 Feb 20, 2015; 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.