North Basin Medical Clinics – Family Medicine Physician, NPI 1053527853

North Basin Medical Clinics is a healthcare provider. based in Davenport, Washington. specializing in Family Medicine Physician. The NPI Number for North Basin Medical Clinics is 1053527853

Main info

Organization
Name
North Basin Medical Clinics
NPI
1053527853
Phone
(509) 725-7501
Address
10 NICHOLLS ST
Authorized Official
TYSON LACY CFO
Enumeration Date
16 May 2007
Last Update Date
7 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for North Basin Medical Clinics

  • 10 NICHOLLS ST

    DAVENPORT, WA 991229729

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Type: Mailing

  • 100, 3rd Street, Davenport, Cass County, North Dakota, 58021, United States

    SUITE 1

    DAVENPORT, WA 991225008

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Type: Mailing

  • 1, 3rd Street, Davenport, Lincoln County, Oklahoma, 74026, United States

    DAVENPORT, WA 991225008

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99122)

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Reviews

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Frequently asked questions

Is North Basin Medical Clinics listed with a National Provider Identifier?
Yes — North Basin Medical Clinics has NPI 1053527853 on file in the registry.
Would North Basin Medical Clinics appear as active to a payer?
You can treat North Basin Medical Clinics as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to North Basin Medical Clinics?
North Basin Medical Clinics's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is North Basin Medical Clinics registered?
Use Davenport, Washington as the headline location for North Basin Medical Clinics here.
When was this NPI issued?
Enumeration for North Basin Medical Clinics is noted as May 16, 2007 where the registry provides it.

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