Provider Demographics
NPI:1346261500
Name:CARE MEDICAL GROUP, INC. P.S.
Entity Type:Organization
Organization Name:CARE MEDICAL GROUP, INC. P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DESLAURIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-734-4300
Mailing Address - Street 1:4280 MERIDIAN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6464
Mailing Address - Country:US
Mailing Address - Phone:360-743-4300
Mailing Address - Fax:360-734-2128
Practice Address - Street 1:4280 MERIDIAN ST STE 120
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6464
Practice Address - Country:US
Practice Address - Phone:360-743-4300
Practice Address - Fax:360-734-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty