Active NPI
Multi Med Management Corp
Doing business as Health Med Centers
- General Practice Physician
- Mount Vernon, WA
National Provider Identifier
1992107130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00019249
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602980301 | Other | WA | UBI NUMBER |
Other names 1
- HEALTH MED CENTERS
National Provider Directory
National Provider DirectoryNPI 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.