| New Health Springdale Dental | |
|
105 N Second St Springdale WA 99173 | |
| (509) 258-7543 | |
| (509) 258-7524 |
| Full Name | New Health Springdale Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 105 N Second St, Springdale, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Springdale Dental Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Springdale Dental 105 N Second St Springdale WA 99173 Ph: (509) 258-7543 |
| NPI Number | 1407971997 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407971997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | J600317870 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |