| Firsthand Health Of Washington Pc | |
|
1142 Broadway Ste 200 Tacoma WA 98402-3500 | |
| (201) 474-5844 | |
| (877) 804-1324 |
| Full Name | Firsthand Health Of Washington Pc |
|---|---|
| Speciality | General Practice |
| Location | 1142 Broadway Ste 200, Tacoma, Washington |
| Authorized Official Name and Position | Joseph J Parks (CHIEF MEDICAL DIRETOR) |
| Authorized Official Contact | 7817185377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthand Health Of Washington Pc 524 Broadway Fl 11 New York NY 10012-4471 Ph: (844) 378-4263 | Firsthand Health Of Washington Pc 1142 Broadway Ste 200 Tacoma WA 98402-3500 Ph: (201) 474-5844 |
| NPI Number | 1649058215 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 1557800596 |
|---|---|
| Medicare Enrollment ID | O20240822001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649058215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Navdeep Kaur Malhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316512932 PECOS PAC ID: 3971906033 Enrollment ID: I20210727001853 |
| Provider Name | Joseph Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20240822001386 |
| Provider Name | Kandace Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417430190 PECOS PAC ID: 1557615465 Enrollment ID: I20240920002395 |
| Provider Name | Ashlee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874230 PECOS PAC ID: 4880941012 Enrollment ID: I20241016000938 |
| Provider Name | Tera Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20241016003091 |
| Provider Name | Tabitha Rutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881942233 PECOS PAC ID: 6002139169 Enrollment ID: I20241106003405 |
| Provider Name | Adam Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558626689 PECOS PAC ID: 2961659586 Enrollment ID: I20250228003522 |
| Provider Name | Davis M Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750769154 PECOS PAC ID: 3577853183 Enrollment ID: I20250304000687 |
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