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Pediatric Clinic
Point of Service in Federal Way, Washington
NPI 1952561805

Pediatric Clinic is a Point of Service based in Federal Way, WA. Pediatric Clinic practices in Federal Way, WA. The NPI Number for Pediatric Clinic is 1952561805 and holds a License No. MD00031337 (Washington).

The current practice location address for Pediatric Clinic is 32124 1St Ave S Ste 100, Federal Way, WA and can be reached out via phone at 253-661-5939 and via fax at 253-661-5929.

Location: 32124 1St Ave S Ste 100, Federal Way, WA, 98003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952561805
Provider Name
Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
32124 1St Ave S Ste 100, Federal Way, WA, 98003
Phone Number
253-661-5939
Fax Number
253-661-5929
Provider Enumeration Date
06/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7056443 05 WA
institution
Provider Business Practice Location Address Details
Address
32124 1St Ave S Ste 100
City
Federal Way
State
Washington
Zip
98003-5761
Phone Number
253-661-5939
Fax Number
253-661-5929
person
Provider Business Mailing Address Details
Address
32124 1St Ave S Ste 100
City
Federal Way
State
Washington
Zip
98003-5761
Phone Number
253-661-5939
Fax Number
253-661-5929
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
MD00031337 (Washington)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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