OrganizationActive
Maranatha Medical Clinic Inc P S
NPI 1063748861 · Clinic/Center · Renton, WA
Maranatha Medical Clinic Inc P S is a Clinic/Center organization in Renton, WA (NPI 1063748861).
Provider details
- NPI number
- 1063748861
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Graves, President(425) 235-9614
- License
- 17917 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17900 Talbot Rd S
#101
Renton, WA 98055-8212
Phone: (425) 235-9614
Fax: (425) 235-1060
Street-level locationGet directions
Mailing address
17900 Talbot Road South
Renton, WA 98055-8636
Registry dates
- Enumerated
- 2009-10-29
- Last updated
- 2017-09-11
Frequently asked questions
- What is Maranatha Medical Clinic Inc P S's NPI number?
- Maranatha Medical Clinic Inc P S's National Provider Identifier (NPI) is 1063748861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maranatha Medical Clinic Inc P S?
- Maranatha Medical Clinic Inc P S is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maranatha Medical Clinic Inc P S located?
- Maranatha Medical Clinic Inc P S's practice location on file with NPPES is 17900 Talbot Rd S, Renton, WA 98055-8212.
- What is Maranatha Medical Clinic Inc P S's phone number?
- The practice phone number listed in the NPPES registry for Maranatha Medical Clinic Inc P S is (425) 235-9614.
- Who is the authorized official for Maranatha Medical Clinic Inc P S?
- The authorized official listed on Maranatha Medical Clinic Inc P S's NPPES record is Daniel Graves, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maranatha Medical Clinic Inc P S's NPI active?
- Yes — Maranatha Medical Clinic Inc P S's NPI (1063748861) is active in the NPPES registry as of the last update on 2017-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.