# AUBURN FAMILY MEDICAL CENTER, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427278001
- **Authorized official:** MRS. PEGGY DAWN THURSTON ADMINISTRATOR (BILLING MANAGER)
- **Authorized official phone:** 25393936043

## Contact information

- **Practice address:** 202 N DIVISION ST \# 2, STE 405, AUBURN, WA 98001-4939
- **Practice address phone:** (253) 939-3604
- **Practice address fax:** (253) 735-4167
- **Mailing address:** 202 NO DIVISION ST, PLAZA 2, STE 405, AUBURN, WA 98001-4939
- **Mailing address phone:** (253) 939-3604
- **Mailing address fax:** (253) 735-4167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 04/22/2008

## 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 | — |