BEACH CLINIC INC P S – NPI #1770787335
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.

BEACH CLINIC INC P S is a provider located in WESTPORT, WA. NPPES has assigned the NPI number 1770787335 to BEACH CLINIC INC P S on June 14, 2007. 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 16 years ago on Dec 07, 2010. 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 BEACH CLINIC INC P S below.

NPI Profile for
BEACH CLINIC INC P S

NPI Number
1770787335
Enumeration Date

(about 19 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
BEACH CLINIC INC P S
Primary location
801 N. MONTESANO
WESTPORT, WA 98595
Phone: (360) 268-0195 Fax: (360) 268-1442
Mailing address
801 N MONTESANO
PO BOX 2229
WESTPORT, WA 98595
Phone: (360) 268-0195 Fax: (360) 268-1442
Organization Subpart
No
Authorized Official
SHELLY DUEBER
PHYSICIAN
Phone: (360) 268-0195
Updated
Identifiers

Identifiers for BEACH CLINIC INC P S

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
MEDICAIDWA7102221
MEDICAIDWA7103187
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 OP00001807

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.