| NPI | 1164754412 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-02-10 |
| Last Updated | 2010-02-10 |
| Authorized Official | Venkataraman Sambasivan PRESIDENT Phone: 5095472949 |
| Mailing Address | 1200 N 14th Ave Ste 295 Pasco, WA 99301-4195 United States Phone: (509) 547-2949 | Fax: (509) 547-2004 📍 View Map |
| Primary Practice Address | 1200 N 14th Ave Ste 295 Pasco, WA 99301-4195 United States Phone: (509) 547-2949 | Fax: (509) 547-2004 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 7051089 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | WA | MD00030872 |
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About NPI 1164754412
Tri-City Cardiovascular Institute Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164754412. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The organization is located in Pasco, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-02-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164754412?
NPI 1164754412 belongs to Tri-City Cardiovascular Institute Inc, a Internal Medicine, Cardiovascular Disease in Pasco, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164754412 active?
The current status of NPI 1164754412 in the NPPES registry is Active. The record was last updated on 2010-02-10.
What specialty is NPI 1164754412?
NPI 1164754412 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164754412?
You can verify NPI 1164754412 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164754412?
The primary practice address on file for NPI 1164754412 is 1200 N 14th Ave Ste 295, Pasco, WA 99301-4195. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164754412 issued?
NPI 1164754412 was first issued (enumerated) on 2010-02-10. The NPPES record was last updated on 2010-02-10.
Practice Location Map
Tri-City Cardiovascular Institute Inc is located at 1200 N 14th Ave Ste 295, Pasco, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tri-City Cardiovascular Institute Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164754412. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | MD00030872 | WA |