| |
118 S Parkway Ave Battle Ground WA 98604-9215 | |
(360) 342-8050 | |
(360) 342-8045 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 118 S Parkway Ave, Battle Ground, Washington |
Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34703 Seattle WA 98124-1703 Ph: (206) 474-2001 | 118 S Parkway Ave Battle Ground WA 98604-9215 Ph: (360) 342-8050 |
NPI Number | 1689192940 |
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Provider Enumeration Date | 09/06/2017 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689192940 | NPI | - | NPPES |
2150135 | Medicaid | WA |
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