MT. BAKER PAIN CLINIC – NPI #1336323047
Clinic/Center

MT. BAKER PAIN CLINIC is an AHC clinic located in BELLINGHAM, WA. NPPES has assigned the NPI number 1336323047 to MT. BAKER PAIN CLINIC on December 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MT. BAKER PAIN CLINIC” is a dba name, the actual legal business name for this organization is NORTHWEST RADIOLOGISTS INC., P.S.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 7 years ago on Nov 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MT. BAKER PAIN CLINIC below.

NPI Profile for
NORTHWEST RADIOLOGISTS INC., P.S.

NPI Number
1336323047
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST RADIOLOGISTS INC., P.S.
Doing Business As (dba): MT. BAKER PAIN CLINIC
Primary location
4029 NORTHWEST AVE
SUITE 301A
BELLINGHAM, WA 98226-9077
Phone: (360) 733-0430 Fax: (360) 733-0438
Mailing address
Same as primary location
Organization Subpart
Yes - MT. BAKER PAIN CLINIC is subpart of another organization.
Authorized Official
STACY MILLAR
DIRECTOR, REVENUE CYCLE
Phone: (360) 788-9004
Updated
Identifiers

Identifiers for MT. BAKER PAIN CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCRIME VICTIMS PROVIDER #WA8904202
OTHERDLI PROVIDER #WA0185434
MEDICAIDWA7122831
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.