MONROE STREET MEDICAL CLINIC – NPI #1912096546
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

MONROE STREET MEDICAL CLINIC is a provider located in PORT TOWNSEND, WA. NPPES has assigned the NPI number 1912096546 to MONROE STREET MEDICAL CLINIC on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONROE STREET MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is INTEGRATIVE HEALTH SYSTEMS PS. 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 13 years ago on May 29, 2013. 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 MONROE STREET MEDICAL CLINIC below.

NPI Profile for
INTEGRATIVE HEALTH SYSTEMS PS

NPI Number
1912096546
Enumeration Date

(more than 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
INTEGRATIVE HEALTH SYSTEMS PS
Doing Business As (dba): MONROE STREET MEDICAL CLINIC
Primary location
708 KEARNEY ST.
PORT TOWNSEND, WA 98368
Phone: (360) 385-5658 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
J RIENSTRA
OWNER / PRES
Phone: (360) 385-5658
Updated
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.