NPIMap

Organization Active NPI

Willapa Family Medicine PS

  • Family Medicine Physician
  • South Bend, WA
National Provider Identifier
1841314911
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLAPA FAMILY MEDICINE PS
Practice address
810 Alder St
South Bend, WA 98586-0168
Phone
(360) 875-4502
Fax
(360) 875-5962
NPI assigned
Mar 16, 2007
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Steven Frederick Hill, D.O.NPI 1104875962
Title
President
Phone
(360) 875-4502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

810 Alder St
South Bend, WA 98586-0168

Mailing address

PO Box 168
South Bend, WA 98586-0168
Phone (360) 875-4502

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1841314911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860168",
            "telephone_number": "360-875-4502",
            "fax_number": "360-875-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ALDER ST",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860168",
            "telephone_number": "360-875-4502",
            "fax_number": "360-875-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAPA FAMILY MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-875-4502",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2013; 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.