Pacific Lutheran Univeristy Student Health Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

910565571 Issued in WA

Legal business name

PACIFIC LUTHERAN UNIVERISTY STUDENT HEALTH CENTER

Practice address

Pacific Lutheran University Student Health Ctr
12012 Park Ave South
Tacoma, WA 98447-0001

Phone

(253) 535-7337

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Winnifred Miller, ARNP

Title

Arnp

Phone

(253) 862-7050

Specialties & licenses 1

Addresses

Tax ID family

Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Advantage Dental

  • Dentist
  • Vancouver, WA
  • NPI 1790173482
  NPD tax ID

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1649415720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CALDWELL RD E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983729234",
            "telephone_number": "253-862-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PACIFIC LUTHERAN UNIVERSITY STUDENT HEALTH CTR",
            "address_2": "12012 PARK AVE SOUTH",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470001",
            "telephone_number": "253-535-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC LUTHERAN UNIVERISTY STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "WINNIFRED",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "253-862-7050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "910565571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Cardiovascular, P.S.
• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Coast Eyecare P.S. (Tacoma Eye)
• Pacific General Medical & Emergecy Clinic Inc
• Pacific Hands LLC
• Pacific Lutheran University
• Pacific Lutheran University
• Pacific Medical Dialysis Services
• Pacific Medical Laboratory Services
• Pacific Medical Specialty on Call Group

• Health Maintenance Organization in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.