Ms Ruby Medina, MSW | |
208 N. Euclid, Grandview, WA 98930 | |
(509) 882-1855 | |
(509) 882-4998 |
Full Name | Ms Ruby Medina |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 208 N. Euclid, Grandview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043711252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SC60426069 (Washington) | Primary |
Entity Name | Sunnyside Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
Entity Name | Shc Medical Center Toppenish |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
Mailing Address | Practice Location Address |
---|---|
Ms Ruby Medina, MSW 1905 Queen Street, Grandview, WA 98930 Ph: (509) 305-3851 | Ms Ruby Medina, MSW 208 N. Euclid, Grandview, WA 98930 Ph: (509) 882-1855 |
Erma Lus Medina, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 605 Park Ave, Grandview, WA 98930 Phone: 509-830-4624 | |
Katherine Dolores Soto, SW ICL Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 222 E 2nd St, Grandview, WA 98930 Phone: 509-203-6501 Fax: 509-203-6504 |