OrganizationActive
Fred Meyer Inc
NPI 1477931947 · Community Health Clinic/Center · Sumner, WA
Provider details
- NPI number
- 1477931947
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jim Kilgus, Pharmacy Manager(253) 826-8433
- License
- IR60290101 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1201 Valley Ave E
Sumner, WA 98390-3225
Phone: (253) 826-8433
Street-level locationGet directions
Mailing address
1201 Valley Ave E
Sumner, WA 98390-3225
Registry dates
- Enumerated
- 2015-05-15
- Last updated
- 2015-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.