Organization Active NPI

Park's Health Care Group, LTD.

  • Preferred Provider Organization
  • Federal Way, WA
National Provider Identifier
1871708396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
AC376 Issued in WA
Legal business name
PARK'S HEALTH CARE GROUP, LTD.
Practice address
33100 Pacific Hwy. S., Ste1
Federal Way, WA 98003-6445
Phone
(253) 815-9191
Fax
(425) 778-3377
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Min Park, L AC. DOM
Title
Vice President
Phone
(253) 815-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AC376 WA Primary

Addresses

Primary practice location

33100 Pacific Hwy. S., Ste1
Federal Way, WA 98003-6445

Mailing address

33100 Pacific Hwy. S., Ste1
Federal Way, WA 98003-6445
Phone (253) 815-9191

National Provider Directory

National Provider Directory

Locations

33100 Pacific Hwy S
Ste 1
Federal Way, WA 98003
Phone (253) 815-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871708396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 PACIFIC HWY. S., STE1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036445",
            "telephone_number": "253-815-9191",
            "fax_number": "425-778-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 PACIFIC HWY. S., STE1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036445",
            "telephone_number": "253-815-9191",
            "fax_number": "425-778-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK'S HEALTH CARE GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-815-9191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L AC. DOM"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "AC376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.