SOUTHBEND CLINIC – NPI #1982761904
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.
SOUTHBEND CLINIC is a provider located in SOUTH BEND, WA. NPPES has assigned the NPI number 1982761904 to SOUTHBEND CLINIC on January 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHBEND CLINIC” is a dba name, the actual legal business name for this organization is PACIFIC COUNTY HOSPITAL DISTRICT #2. 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 6 years ago on Aug 22, 2020. 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 SOUTHBEND CLINIC below.
NPI Profile for
PACIFIC COUNTY HOSPITAL DISTRICT #2
(more than 19 years ago)
SOUTH BEND, WA 98586 Phone: (360) 875-5339 Fax: (360) 875-6167
800 ALDER STREET
SOUTHBEND, WA 98586 Phone: (360) 875-5339 Fax: (360) 875-6167
CFO
Phone: (360) 875-4508
Identifiers for SOUTHBEND 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WA | 7102957 |
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.