Provider Demographics
NPI:1477010676
Name:HCMD LLC
Entity Type:Organization
Organization Name:HCMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:206-755-6846
Mailing Address - Street 1:PO BOX 3548
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3548
Mailing Address - Country:US
Mailing Address - Phone:206-755-6846
Mailing Address - Fax:
Practice Address - Street 1:11477 NW ADMIRAL PL
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-4503
Practice Address - Country:US
Practice Address - Phone:206-755-6846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-23
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty