| Basics Northwest | |
|
8282 28th Ct Ne Suite A Lacey WA 98516-7162 | |
| (360) 915-6868 | |
| Not Available |
| Full Name | Basics Northwest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8282 28th Ct Ne, Lacey, Washington |
| Authorized Official Name and Position | Matthew J Woodard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3609156868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basics Northwest 8282 28th Ct Ne Suite A Lacey WA 98516-7162 Ph: (360) 915-6868 | Basics Northwest 8282 28th Ct Ne Suite A Lacey WA 98516-7162 Ph: (360) 915-6868 |
| NPI Number | 1396179545 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396179545 | NPI | - | NPPES |
| 103K00000X | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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