Fhs Inpatient Team | |
11315 Bridgeport Way Sw Lakewood WA 98499-3004 | |
(253) 426-6341 | |
(253) 426-6344 |
Full Name | Fhs Inpatient Team |
---|---|
Speciality | Internal Medicine |
Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Mike Fitzgerald (VP, FINANCIAL OPS) |
Authorized Official Contact | 2535524105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fhs Inpatient Team 1717 S J St Tacoma WA 98405-4933 Ph: (253) 426-6341 | Fhs Inpatient Team 11315 Bridgeport Way Sw Lakewood WA 98499-3004 Ph: (253) 426-6341 |
NPI Number | 1336158641 |
---|---|
Provider Enumeration Date | 08/05/2006 |
Last Update Date | 02/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336158641 | NPI | - | NPPES |
7094642 | Medicaid | WA | |
0125745 | Other | WA | STATE L&I |
8934342 | Other | WA | STATE CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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