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Key Bridge Medical Clinic Llc
Primary Care Clinic/Center in Lakewood, Washington
NPI 1679178099

Key Bridge Medical Clinic Llc is a Primary Care Clinic/Center based in Lacey, WA and is specialized in Primary Care. Key Bridge Medical Clinic Llc practices in Lakewood, WA. The NPI Number for Key Bridge Medical Clinic Llc is 1679178099 and holds a License No. (Washington).

The current practice location address for Key Bridge Medical Clinic Llc is 11318 Bridgeport Way Sw Ste A, Lakewood, WA and can be reached out via phone at 253-533-3838.

Location: 11318 Bridgeport Way Sw Ste A, Lakewood, WA, 98509-5393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679178099
Provider Name
Key Bridge Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
11318 Bridgeport Way Sw Ste A, Lakewood, WA, 98509-5393
Phone Number
253-533-3838
Fax Number
Provider Enumeration Date
12/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11318 Bridgeport Way Sw Ste A
City
Lakewood
State
Washington
Zip
98499-3054
Phone Number
253-533-3838
Fax Number
person
Provider Business Mailing Address Details
Address
11318 Bridgeport Way Sw Ste A
City
Lakewood
State
Washington
Zip
98499-3054
Phone Number
253-533-3838
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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