NPIMap

Organization Active NPI

Mark T Hanson MD PLLC

Doing business as Chelan Valley Family Medicine

  • Primary Care Clinic/Center
  • Chelan, WA
National Provider Identifier
1790290724
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD00013982 Issued in WA
Legal business name
MARK T HANSON MD PLLC
Doing business as
Chelan Valley Family Medicine
Practice address
414 E Woodin Ave
Chelan, WA 98816-9648
Phone
(509) 293-5393
NPI assigned
Dec 13, 2017
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Rita Wineinger
Title
Practice Manager
Phone
(509) 293-5393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD00013982 WA Primary

Addresses

Primary practice location

414 E Woodin Ave
Chelan, WA 98816-9648

Mailing address

PO Box 1774
Chelan, WA 98816-1774

Other names 1

  • Chelan Valley Family Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1790290724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1774",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988161774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E WOODIN AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169648",
            "telephone_number": "509-293-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T HANSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "WINEINGER",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "509-293-5393"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00013982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelan Valley Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.