Healthcare Provider Details

I. General information

NPI: 1770645574
Provider Name (Legal Business Name): LUMMI NATION HEALTH CENTER PURCHASED & REFERRED CARE (PRC)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2592 KWINA RD
BELLINGHAM WA
98226-9278
US

IV. Provider business mailing address

2530 KWINA RD
BELLINGHAM WA
98226-9278
US

V. Phone/Fax

Practice location:
  • Phone: 360-384-0464
  • Fax: 360-384-2336
Mailing address:
  • Phone: 360-384-2373
  • Fax: 360-384-3218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLIE J SYFERT
Title or Position: BUSINESS OFFICE DIRECTOR
Credential:
Phone: 360-380-6937