HEART CLINIC OF TACOMA – NPI #1952057770
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

HEART CLINIC OF TACOMA is a provider located in OLYMPIA, WA. NPPES has assigned the NPI number 1952057770 to HEART CLINIC OF TACOMA on March 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

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 HEART CLINIC OF TACOMA below.

NPI Profile for
HEART CLINIC OF TACOMA

NPI Number
1952057770
Enumeration Date

(more than 4 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
HEART CLINIC OF TACOMA
Primary location
120 STATE AVE NE #122
OLYMPIA, WA 98501
Phone: (253) 279-3487 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DENNIS KOUKOL
PRESIDENT
Phone: (253) 279-3487
Updated
Certification Date
Mar 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (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.