| Ancora Health, Llc | |
|
530 Spring St Friday Harbor WA 98250-8057 | |
| (206) 783-2511 | |
| Not Available |
| Full Name | Ancora Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 530 Spring St, Friday Harbor, Washington |
| Authorized Official Name and Position | John Johnson (CO-FOUNDER) |
| Authorized Official Contact | 2067832511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancora Health, Llc Po Box 1218 Friday Harbor WA 98250-1218 Ph: (206) 783-2511 | Ancora Health, Llc 530 Spring St Friday Harbor WA 98250-8057 Ph: (206) 783-2511 |
| NPI Number | 1669119574 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 8426497538 |
|---|---|
| Medicare Enrollment ID | O20240422001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669119574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | John D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659913945 PECOS PAC ID: 0244679355 Enrollment ID: I20240508001875 |
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