Campbell Bledsoe Addington
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Yakima, WA
NPI 1487342192 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1487342192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 200 University Pkwy
Yakima, WA 98901-9539 - Phone
- (509) 452-5100
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250804002771 | OH | Order and Referring Only - Internal Medicine |
2567970247 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
200 University Pkwy
Yakima, WA 98901-9539
Mailing address
200 University Pkwy
Yakima, WA 98901-9539
Phone (509) 452-5100
Other providers in Yakima, WA
- Holly Adams
- Jacqueline Marie Adams
- Melanie Adams
- Sharon Adams
- Adaptive Star Mobility Inc.
- Addus Healthcare, Inc.
- Folashade Abiodun Adeleye
- Meysam Adibzadeh
- Monisola Precious Adigun
- John W Adkison
All providers in Yakima, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.