Organization Active NPI

Multi Med Management Corp

Doing business as Health Med Centers

  • General Practice Physician
  • Mount Vernon, WA
National Provider Identifier
1992107130
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00019249 Issued in WA
Legal business name
MULTI MED MANAGEMENT CORP
Doing business as
Health Med Centers
Practice address
205 Stewart Rd
Suite 104
Mount Vernon, WA 98273-9607
Phone
(360) 416-3322
Fax
(260) 707-7103
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Mr. Philip A Ward
Title
Owner
Phone
(360) 416-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD00019249 WA Primary

Addresses

Primary practice location

205 Stewart Rd
Suite 104
Mount Vernon, WA 98273-9607

Mailing address

205 Stewart Rd
Suite 104
Mount Vernon, WA 98273-9607
Phone (360) 416-3322

Other identifiers 1

IdentifierTypeStateIssuer
602980301OtherWAUBI NUMBER

Other names 1

  • HEALTH MED CENTERS 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": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1992107130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STEWART RD",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739607",
            "telephone_number": "360-416-3322",
            "fax_number": "260-707-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEWART RD",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739607",
            "telephone_number": "360-416-3322",
            "fax_number": "260-707-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI MED MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-416-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00019249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NUMBER",
            "identifier": "602980301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH MED CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.