NPIMap

Organization Active NPI

Carbon Health Medical Group of Washington PC

  • Urgent Care Clinic/Center
  • Puyallup, WA
National Provider Identifier
1831900422
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARBON HEALTH MEDICAL GROUP OF WASHINGTON PC
Practice address
10221 156TH St E Ste P1-102
Puyallup, WA 98374-5690
Phone
(253) 292-5297
Fax
(253) 294-9042
NPI assigned
Jan 14, 2025
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Marley Page
Title
Contracting and Cred Director
Phone
(253) 238-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

10221 156TH St E Ste P1-102
Puyallup, WA 98374-5690

Mailing address

PO Box 210
Portsmouth, NH 03802-0210

Other practice location 1

2915 184th St SW Bldg 5
Lynnwood, WA 98037-4847
Phone (425) 459-5170

Other practice location 2

1751 S 320th St Ste M24
Federal Way, WA 98003
Phone (253) 238-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129001495 WA Part B Supplier - Clinic/Group Practice 7618455882 Receives reassigned benefits from 30 practitioners
Practice locations: Puyallup, WA; Mill Creek, WA; Federal Way, WA; Lynnwood, WA

National Provider Directory

National Provider Directory

Locations

10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1831900422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038020210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 156TH ST E STE P1-102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745690",
            "telephone_number": "253-292-5297",
            "fax_number": "253-294-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 184th St SW Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374847",
            "country_code": "US",
            "telephone_number": "425-459-5170",
            "fax_number": "425-276-0042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 S 320th St Ste M24",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "98003",
            "country_code": "US",
            "telephone_number": "253-238-7148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF WASHINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "CONTRACTING AND CRED DIRECTOR",
        "authorized_official_telephone_number": "253-238-7148"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.