Provider Demographics
NPI:1144496845
Name:REDIMEDI CLINIC & HOUSE CALL, PLLC
Entity type:Organization
Organization Name:REDIMEDI CLINIC & HOUSE CALL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-888-6334
Mailing Address - Street 1:PO BOX 4000
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-4000
Mailing Address - Country:US
Mailing Address - Phone:509-888-6334
Mailing Address - Fax:877-682-0175
Practice Address - Street 1:230 GRANT ROAD SUITE B2
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-7723
Practice Address - Country:US
Practice Address - Phone:509-888-6334
Practice Address - Fax:877-682-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty