Ja Medical Center Ps
Family Medicine in Medical Lake, WA. Organization (NPI-2).
Details
- NPI
- 1467494229
- Entity type
- Organization (NPI-2)
- Legal business name
- Ja Medical Center Ps
- Organization subpart
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00042028 | WA | Yes |
Practice location
725 North Stanley StreetSuite A
Medical Lake, WA 99022-8819
Phone 509-299-2858 · Fax 509-299-2868
Mailing address
Po Box 1175Medical Lake, WA 99022-1175
Phone 509-299-2858 · Fax 509-299-2868
Authorized official
Jane-Frances Ifeoma Akpamgbo
Owner/President
5092992858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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