NPI 1265706741

Total Health Center, Co

Organisation Health Maintenance Organization Longview, WA

Practice location

Address: 1322 Vandercook Way, Longview, WA 98632-3902
Phone: (360) 353-3822
Fax: (360) 353-3246

Authorised official

Name: Lindsay Roberson
Title: President
Phone: (360) 353-3822

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 175F00000X (WA)

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Registry record

NPI: 1265706741
Entity type: Organization
NPI issued: 1 Mar 2012
Record last updated: 1 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.