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221 E Washington Ave Dayton WA 99328-1317 | |
| (509) 382-1164 | |
| (509) 382-1166 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 E Washington Ave, Dayton, Washington |
| Authorized Official Name and Position | Dimita Warren (DIRECTOR) |
| Authorized Official Contact | 5093821164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
221 E Washington Ave Dayton WA 99328-1317 Ph: (509) 382-1164 | 221 E Washington Ave Dayton WA 99328-1317 Ph: (509) 382-1164 |
| NPI Number | 1922040526 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 02/02/2014 |
| Medicare PECOS PAC ID | 5092779470 |
|---|---|
| Medicare Enrollment ID | O20041116000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922040526 | NPI | - | NPPES |
| Provider Name | Michael E Luce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003904640 PECOS PAC ID: 2860440336 Enrollment ID: I20050111000746 |
| Provider Name | Chrisann T. Christensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922214287 PECOS PAC ID: 1557696085 Enrollment ID: I20240207002748 |
Thrive Css Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 S 3rd St Rm 100, Dayton, WA 99328 Phone: 406-600-3756 |