Unity Care Northwest | |
6060 Portal Way Ferndale WA 98248-7833 | |
(360) 676-6177 | |
(360) 671-3574 |
Full Name | Unity Care Northwest |
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Speciality | Clinic/Center |
Location | 6060 Portal Way, Ferndale, Washington |
Authorized Official Name and Position | Jodi Joyce (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3606766177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unity Care Northwest 1616 Cornwall Ave Ste 205 Bellingham WA 98225-4642 Ph: (360) 676-6177 | Unity Care Northwest 6060 Portal Way Ferndale WA 98248-7833 Ph: (360) 676-6177 |
NPI Number | 1376013250 |
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Provider Enumeration Date | 12/04/2018 |
Last Update Date | 09/30/2020 |
Certification Date | 09/30/2020 |
Medicare PECOS PAC ID | 7911897699 |
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Medicare Enrollment ID | O20190515000827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376013250 | NPI | - | NPPES |
2127212 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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