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Maranatha Medical Clinic Inc P S

Clinic/Center in Renton, WA · enumerated 2009 · authorized official Daniel Graves, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063748861

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Registry record

Entity type Organization (Type 2)
Legal business name Maranatha Medical Clinic Inc P S
Practice address 17900 Talbot Rd S, #101, Renton, WA, 98055
Phone (425) 235-9614
Fax (425) 235-1060
Enumeration date Oct 29, 2009
Last updated in NPPES Sep 11, 2017

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 17917 (WA) Primary

Authorized official

Name Daniel Graves
Title President
Phone (425) 235-9614

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Maranatha Medical Clinic Inc P S?
NPPES lists Daniel Graves (President) as the authorized official for this organization.
What is the NPI number for Maranatha Medical Clinic Inc P S?
The NPI for Maranatha Medical Clinic Inc P S is 1063748861, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-09-11.