Comprehensive Family Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMPREHENSIVE FAMILY CARE PLLC

Practice address

821 E Broadway
Suite 1
Moses Lake, WA 98837

Phone

(509) 765-1602

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Irene K Kimura, MDNPI 1366448359

Title

Owner

Phone

(509) 765-1602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Irene Kimivo Kimura, M.D.

  • Family Medicine Physician
  • Moses Lake, WA
  • NPI 1366448359
  Authorized official Same address or phone
• Tamera R Nolan, ARNP

  • Family Nurse Practitioner
  • Moses Lake, WA
  • NPI 1467754010
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1881859601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY",
            "address_2": "SUITE 1",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "98837",
            "telephone_number": "509-765-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY",
            "address_2": "SUITE 1",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "98837",
            "telephone_number": "509-765-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "KIMURA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-765-1602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125855",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Barry Collette, D.D.S.
• Sheila Fay Collins, DDS
• Columbia Basin Anesthesia PLLC
• Columbia Basin Eye Clinic PS
• Columbia Basin Natural Family Medicine PLLC
• Aislynn Olivia Conger
• Mary Lucretia Conklin
• Conrado Deleon MD
• Braeden R Cook, ARNP
• Lisa Cordova, RN

• Primary Care Clinic/Center in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.