Organization · Type 2 NPI
Lake Wilderness Medical Clinic LLC
Exclusive Provider Organization · Maple Valley, WA
Practice location
26907 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8314
Fax (206) 973-5399
Mailing address
PO Box 1142
Ravensdale, WA 98051-1142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | MD00023662 (WA) |
Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…
Another provider at this address
About NPI 1982879045
Lake Wilderness Medical Clinic LLC's National Provider Identifier is 1982879045, issued on Apr 29, 2008. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Maple Valley, WA. The record was last updated on Apr 29, 2008.