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1175 Carondelet Dr Richland WA 99354-3300 | |
(509) 943-9104 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Hospital |
Location | 1175 Carondelet Dr, Richland, Washington |
Authorized Official Name and Position | Charlotte E Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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520 N 4th Ave Pasco WA 99301-5257 Ph: (509) 547-7704 | 1175 Carondelet Dr Richland WA 99354-3300 Ph: (509) 943-9104 |
NPI Number | 1548342181 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 02/17/2024 |
Certification Date | 02/17/2024 |
Medicare PECOS PAC ID | 1850642562 |
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Medicare Enrollment ID | O20180919003746 |
Identifier | Type | State | Issuer |
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1548342181 | NPI | - | NPPES |
2112125 | Medicaid | WA |
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