| N W Pediatric Center, Inc. P.s. | |
|
1915 Cooks Hill Rd Centralia WA 98531-9073 | |
| (360) 736-6778 | |
| (360) 736-6552 |
| Full Name | N W Pediatric Center, Inc. P.s. |
|---|---|
| Speciality | Pediatrics |
| Location | 1915 Cooks Hill Rd, Centralia, Washington |
| Authorized Official Name and Position | Lisa G Mckay (PRACTICE MANAGER) |
| Authorized Official Contact | 3607366778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N W Pediatric Center, Inc. P.s. 1911 Cooks Hill Rd Centralia WA 98531-9073 Ph: (360) 736-6778 | N W Pediatric Center, Inc. P.s. 1915 Cooks Hill Rd Centralia WA 98531-9073 Ph: (360) 736-6778 |
| NPI Number | 1912515917 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Medicare PECOS PAC ID | 8022929553 |
|---|---|
| Medicare Enrollment ID | O20200903001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912515917 | NPI | - | NPPES |
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