TRINITY FAMILY MEDICAL CLINIC
NPI 1639617038
Family Medicine in Puyallup, WA

NPI Status: Active since February 06, 2017

Contact Information

610 S MERIDIAN
PUYALLUP, WA
ZIP 98371
Phone: (253) 881-1844
Fax: (253) 881-1925

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 50D2129441
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About TRINITY FAMILY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Trinity Family Medical Clinic, a primary care provider established in Puyallup, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639617038 assigned on February 2017. The practitioner's primary taxonomy code is 207Q00000X with license number MD00042936 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Trinity Family Medical Clinic Ps, Inc. The authorized official of this NPI record is Eugenia D Guray Md (Owner)

NPI
1639617038
Provider Legal Name
TRINITY FAMILY MEDICAL CLINIC
Other Organization Name
TRINITY FAMILY MEDICAL CLINIC PS, INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
610 S MERIDIAN PUYALLUP, WA 98371
Location Phone
(253) 881-1844
Location Fax
(253) 881-1925
Mailing Address
610 S MERIDIAN PUYALLUP, WA 98371
Mailing Phone
(855) 621-8250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2017
Last Update Date
04-01-2024
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A primary care provider (PCP) like Trinity Family Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00042936
License State
WA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EUGENIA D GURAY MD

Authorized Official Title
OWNER
Authorized Official Phone
(253) 881-1844

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2129441
Facility Type
Physician Office
Certificate Effective Date
April 19, 2017
Certificate Expiration Date
April 04, 2028
Laboratory Director
EUGENIA DAILEG-GURAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Trinity Family Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRINITY FAMILY MEDICAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639617038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691211406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 1 + 1 + 4 + 0 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639617038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457327447DR. WILLIAM H MORRISON M.D.
Individual
Internal Medicine610 S MERIDIAN
PUYALLUP, WA 98371
(253) 845-2629
1437226511MR. JOHN LEWIS DILLER MD
Individual
Family Medicine610 S MERIDIAN
PUYALLUP, WA 98371
(253) 845-2629
1982924767JOHN L. DILLER, MD
Organization
Clinic/Center610 S MERIDIAN
PUYALLUP, WA 98371
(253) 845-2629
1275506263DR. EUGENIA D GURAY MD
Individual
Family Medicine610 S MERIDIAN
PUYALLUP, WA 98371
(253) 881-1844
1558905356 HAZEL ROSE RUSTE KING NP
Individual
Nurse Practitioner610 S MERIDIAN
PUYALLUP, WA 98371
(253) 881-1844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639617038, enumerated in the NPI registry as an "organization" on February 06, 2017

The provider is located at 610 S Meridian Puyallup, Wa 98371 and the phone number is (253) 881-1844

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D2129441 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 06, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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