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Organization
AUBURN FAMILY MEDICAL CENTER, INC., P.S.
Active
Organization
AUBURN FAMILY MEDICAL CENTER, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY DAWN THURSTON ADMINISTRATOR (BILLING MANAGER)
25393936043
Entity
Organization
Contact information
Practice address
202 N DIVISION ST # 2, STE 405, AUBURN, WA 98001-4939
(253) 939-3604
(253) 735-4167
Mailing address
202 NO DIVISION ST, PLAZA 2, STE 405, AUBURN, WA 98001-4939
(253) 939-3604
(253) 735-4167
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64340
DEPT OF L & I
WA
05
—
7120108
—
WA
01
—
AU0041
REGENCE BLUE SHIELD
WA
01
—
CO5099
RAILROAD MEDICARE
—
Enumeration date
04/26/2007
Last updated
04/22/2008
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