Kelso Treatment Solutions | |
305 Pacific Ave S Ste C Kelso WA 98626-1638 | |
(360) 425-5378 | |
(360) 425-5990 |
Full Name | Kelso Treatment Solutions |
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Speciality | Clinic/Center |
Location | 305 Pacific Ave S Ste C, Kelso, Washington |
Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kelso Treatment Solutions 6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Kelso Treatment Solutions 305 Pacific Ave S Ste C Kelso WA 98626-1638 Ph: (360) 425-5378 |
NPI Number | 1457860959 |
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Provider Enumeration Date | 09/27/2017 |
Last Update Date | 10/24/2024 |
Certification Date | 10/24/2024 |
Medicare PECOS PAC ID | 2961744016 |
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Medicare Enrollment ID | O20200206002861 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457860959 | NPI | - | NPPES |
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