Provider Demographics
NPI:1902074958
Name:ONHC, PLLC
Entity Type:Organization
Organization Name:ONHC, PLLC
Other - Org Name:OLYMPIA NURSING HOME CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:360-280-3751
Mailing Address - Street 1:PO BOX 14218
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98511-4218
Mailing Address - Country:US
Mailing Address - Phone:360-280-3751
Mailing Address - Fax:360-878-8444
Practice Address - Street 1:6834 BRITT ST SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-4169
Practice Address - Country:US
Practice Address - Phone:360-280-3751
Practice Address - Fax:360-878-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA230102OtherLABOR & INDUSTRIES
WA7141591Medicaid
WA230102OtherLABOR & INDUSTRIES