Provider Demographics
NPI:1275756058
Name:HEALTHCARE DELIVERY, INC.
Entity Type:Organization
Organization Name:HEALTHCARE DELIVERY, INC.
Other - Org Name:BIGROCK HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-357-8822
Mailing Address - Street 1:6342 LITTLEROCK RD SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7332
Mailing Address - Country:US
Mailing Address - Phone:360-357-8822
Mailing Address - Fax:360-357-8823
Practice Address - Street 1:6342 LITTLEROCK RD SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7332
Practice Address - Country:US
Practice Address - Phone:360-357-8822
Practice Address - Fax:360-357-8823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003042363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9631698Medicaid
WAAB26355Medicare ID - Type Unspecified