Organization
H MATT SMITH MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT MATTHEW SMITH MD (OWNER)
(509) 585-5500
Entity
Organization
Contact information
Practice address
401 W 1ST AVE, KENNEWICK, WA 99336-3926
(509) 585-5500
(509) 585-4161
Mailing address
401 W 1ST AVE, KENNEWICK, WA 99336-3926
(509) 585-5500
(509) 585-4161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00358
DEPT OF HEALTH EIP ID
WA
01
—
0161428
LABOR & INDUSTRIES ID
WA
01
—
0801186563
RAILROAD MEDICARE ID
WA
01
—
1266
GROUP HEALTH COOP ID
WA
05
—
1658905
—
WA
01
—
2089786
FIRST HEALTH ID
WA
01
—
348362800
US DEPT OF LABOR
WA
01
—
4531768
AETNA PROVIDER ID
WA
01
—
836293000
REGENCE BCBS OREGON
WA
01
—
8937316
CRIME VICTIMS ID
WA
01
—
9250SM
REGENCE ASURIS ID
WA
Enumeration date
02/02/2007
Last updated
03/17/2014
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