Provider Demographics
NPI:1326404468
Name:MEDICAL CONSULTING ASSOCIATES, PLLC
Entity type:Organization
Organization Name:MEDICAL CONSULTING ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-692-6202
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:TRACYTON
Mailing Address - State:WA
Mailing Address - Zip Code:98393-0608
Mailing Address - Country:US
Mailing Address - Phone:360-692-6202
Mailing Address - Fax:360-698-5508
Practice Address - Street 1:9226 BAYSHORE DR NW
Practice Address - Street 2:SUITE 230
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9196
Practice Address - Country:US
Practice Address - Phone:360-692-6202
Practice Address - Fax:360-698-5508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty