| Adams County Integrated Health Care Services | |
|
425 E Main St Ste 600 Othello WA 99344-1146 | |
| (509) 488-5611 | |
| (509) 488-0166 |
| Full Name | Adams County Integrated Health Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 E Main St Ste 600, Othello, Washington |
| Authorized Official Name and Position | Vicki Guse (ADMINISTRATOR) |
| Authorized Official Contact | 5094884074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams County Integrated Health Care Services 425 E Main St Ste 600 Othello WA 99344-1146 Ph: (509) 488-5611 | Adams County Integrated Health Care Services 425 E Main St Ste 600 Othello WA 99344-1146 Ph: (509) 488-5611 |
| NPI Number | 1487905154 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487905154 | NPI | - | NPPES |
| 1981745 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008 (Washington) | Primary |
Community Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166 |