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Hawks Prairie Vision Clinic, P.s.
Preferred Provider Organization in Lacey, Washington
NPI 1952583536

Hawks Prairie Vision Clinic, P.s. is a Preferred Provider Organization based in Lacey, WA. Hawks Prairie Vision Clinic, P.s. practices in Lacey, WA. The NPI Number for Hawks Prairie Vision Clinic, P.s. is 1952583536 and holds a License No. OD00003048 (Washington).

The current practice location address for Hawks Prairie Vision Clinic, P.s. is 2539 Marvin Rd Ne Ste B, Lacey, WA and can be reached out via phone at 360-459-3333 and via fax at 360-459-2724.

Location: 2539 Marvin Rd Ne Ste B, Lacey, WA, 98516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952583536
Provider Name
Hawks Prairie Vision Clinic, P.s.
Credential
Provider Entity Type
Organization
Address
2539 Marvin Rd Ne Ste B, Lacey, WA, 98516
Phone Number
360-459-3333
Fax Number
360-459-2724
Provider Enumeration Date
12/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2025922 05 WA
DF2770 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2539 Marvin Rd Ne Ste B
City
Lacey
State
Washington
Zip
98516-3175
Phone Number
360-459-3333
Fax Number
360-459-2724
person
Provider Business Mailing Address Details
Address
2539 Marvin Rd Ne Ste B
City
Lacey
State
Washington
Zip
98516-3175
Phone Number
360-459-3333
Fax Number
360-459-2724
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
OD00003048 (Washington)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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