Active NPI
Harbor Family Practice Inc
- Family Medicine Physician
- South Bend, WA
National Provider Identifier
1558567222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00020716
- Legal business name
- HARBOR FAMILY PRACTICE INC
- Practice address
- 800 Alder St
South Bend, WA 98586 - Phone
- (360) 875-5339
- Fax
- (360) 875-5042
- NPI assigned
- Jun 21, 2007
- Last updated
- Apr 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank A Hing, MD
- Title
- President, Owner
- Phone
- (360) 875-5339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00020716 | WA | Primary |
Addresses
Primary practice location
800 Alder St
South Bend, WA 98586
Mailing address
PO Box 227
South Bend, WA 98586-0227
Phone (360) 875-5339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7087810 | Medicaid | WA | |
| HI4845 | Other | WA | REGENCE BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- South Bend, WA
- NPI 1669439659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303430400000",
"number": "1558567222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 227",
"city": "SOUTH BEND",
"state": "WA",
"postal_code": "985860227",
"telephone_number": "360-875-5339",
"fax_number": "360-875-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ALDER ST",
"city": "SOUTH BEND",
"state": "WA",
"postal_code": "98586",
"telephone_number": "360-875-5339",
"fax_number": "360-875-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR FAMILY PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2011-04-22",
"status": "A",
"authorized_official_last_name": "HING",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "360-875-5339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00020716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7087810",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "HI4845",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.