| Upper Skagit Tribal Clinic | |
|
25959 Community Plaza Way Sedro Woolley WA 98284-9721 | |
| (360) 854-7070 | |
| (360) 854-7060 |
| Full Name | Upper Skagit Tribal Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 25959 Community Plaza Way, Sedro Woolley, Washington |
| Authorized Official Name and Position | Marilyn M Scott (TRIBAL VICE-CHAIRMAN) |
| Authorized Official Contact | 3608547039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Skagit Tribal Clinic 25944 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 | Upper Skagit Tribal Clinic 25959 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 |
| NPI Number | 1336129295 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 2264501535 |
|---|---|
| Medicare Enrollment ID | O20080513000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336129295 | NPI | - | NPPES |
| 1981323 | Medicaid | WA | |
| 8024291 | Medicaid | WA | |
| 9645573 | Medicaid | WA | |
| 7084338 | Medicaid | WA | |
| 1008805 | Medicaid | WA | |
| 8466286 | Medicaid | WA | |
| 1995281 | Medicaid | WA | |
| 7203805 | Medicaid | WA |
| Provider Name | Thomas Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366595654 PECOS PAC ID: 6709966898 Enrollment ID: I20111019000710 |
| Provider Name | Carlos E Montiel Hurtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962606541 PECOS PAC ID: 1951479724 Enrollment ID: I20190821000683 |
| Provider Name | Claudia R Rey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881919769 PECOS PAC ID: 3375784663 Enrollment ID: I20191122000419 |
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