Lake Wilderness Medical Clinic Llc

  • 1982879045 NPI Number
  • |
  • Actived: 16 years ago
  • |
Lake Wilderness Medical Clinic Llc is a health care provider based in Maple Valley, WA. The NPI Number is 1982879045 and it has been active since 16 years ago. The specialty is Exclusive Provider Organization, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Exclusive Provider Organization services, Lake Wilderness Medical Clinic Llc is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Lake Wilderness Medical Clinic Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/29/2008
  • Last updated: 04/29/2008

Primary Scrop of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: MD00023662
  • License State: WA

Provider Mailing Address

  • Address: Po Box 1142
    Ravensdale, WA 98051
  • Phone: 425-432-9611
  • Fax: 206-973-5399

Provider Practice Location

  • Address: 26907 Maple Valley Black Diamond Rd Se
    Maple Valley, WA 98038
  • Phone: 425-432-9611
  • Fax: 206-973-5399

Authorized Official

  • Name: Chester E Jangala JR. MD
  • Position/Title: Physician
  • Telephone Number: 425-432-9611

Scope of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: MD00023662
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lake Wilderness Medical Clinic Llc?
  • A: The npi number for Lake Wilderness Medical Clinic Llc is 1982879045.
  • Q: What are Lake Wilderness Medical Clinic Llc's specialties?
  • A: Lake Wilderness Medical Clinic Llc's specialties are Exclusive Provider Organization and different specialities.
  • Q: Where is Lake Wilderness Medical Clinic Llc business practice location?
  • A: Lake Wilderness Medical Clinic Llc business practice location is 26907 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038.
  • Q: How to contact Lake Wilderness Medical Clinic Llc?
  • A: You can contact Lake Wilderness Medical Clinic Llc via 425-432-9611.
  • Q: What is the authorized official for Lake Wilderness Medical Clinic Llc?
  • A: The authorized office name is Chester E Jangala JR. MD with position/title is Physician and you can reach the authorized official via phone number 4254329611.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.