PORT ORCHARD MEDICAL CLINIC – NPI #1558478818
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.

PORT ORCHARD MEDICAL CLINIC is a provider located in PORT ORCHARD, WA. NPPES has assigned the NPI number 1558478818 to PORT ORCHARD MEDICAL CLINIC on August 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PORT ORCHARD MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is FRANCISCAN MEDICAL GROUP. 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 17 years ago on Mar 23, 2009. 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 PORT ORCHARD MEDICAL CLINIC below.

NPI Profile for
FRANCISCAN MEDICAL GROUP

NPI Number
1558478818
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
FRANCISCAN MEDICAL GROUP
Doing Business As (dba): PORT ORCHARD MEDICAL CLINIC
Primary location
451 SW SEDGWICK RD
STE 110
PORT ORCHARD, WA 98367
Phone: (360) 874-5900 Fax: (360) 874-5959
Mailing address
Same as primary location
Organization Subpart
Yes - PORT ORCHARD MEDICAL CLINIC is subpart of another organization.
Authorized Official
DEAN FIELD
CMO
Phone: (253) 858-9192
Updated
Identifiers

Identifiers for PORT ORCHARD MEDICAL 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
OTHERSTATE CRIME VICTIMSWA8928223
OTHERSTATE L&IWA0207870
MEDICAIDWA7132459
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)
WA OP00001963

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.