LACEY MEDICAL CLINIC PS – NPI #1558464974
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LACEY MEDICAL CLINIC PS is a provider located in LACEY, WA. NPPES has assigned the NPI number 1558464974 to LACEY MEDICAL CLINIC PS on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jun 23, 2014. 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 LACEY MEDICAL CLINIC PS below.

NPI Profile for
LACEY MEDICAL CLINIC PS

NPI Number
1558464974
Enumeration Date

(about 20 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
LACEY MEDICAL CLINIC PS
Primary location
5602 RUDDELL RD SE
LACEY, WA 98503
Phone: (360) 438-0394 Fax: (360) 493-0824
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD KRAUSS
PRESIDENT
Phone: (360) 438-0394
Updated
Identifiers

Identifiers for LACEY MEDICAL CLINIC PS

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
MEDICAIDWA7069750
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
207Q00000X
- Family Medicine (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.