SPANAWAY GENERAL MEDICAL CLINIC – NPI #1770514937
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SPANAWAY GENERAL MEDICAL CLINIC is a provider located in TACOMA, WA. NPPES has assigned the NPI number 1770514937 to SPANAWAY GENERAL MEDICAL CLINIC on July 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Oct 25, 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 SPANAWAY GENERAL MEDICAL CLINIC below.

NPI Profile for
SPANAWAY GENERAL MEDICAL CLINIC

NPI Number
1770514937
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
SPANAWAY GENERAL MEDICAL CLINIC
Primary location
15005 PACIFIC AVE
SPANAWAY GENERAL MEDICAL CLINIC
TACOMA, WA 98444
Phone: (253) 537-3724 Fax: (253) 537-6425
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW TSOI
OWNER
Phone: (253) 537-3724
Updated
Identifiers

Identifiers for SPANAWAY GENERAL 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
MEDICAIDWA7174006
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
208D00000X
- General Practice (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.